Misty Mantooth

Primary specialty

Social WorkerTaxonomy code 104100000X

License

180015 Issued in TN

Practice address

Lifestance Therapists & Psychiatrists Brentwood
9020 Overlook Blvd Suite 130
Brentwood, TN 37027

Phone

(615) 905-0515

NPI assigned

Aug 12, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Mind Counseling Services, Inc

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1457409898
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1811873300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 OVERLOOK BLVD STE 130",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273259",
            "telephone_number": "865-588-3173",
            "fax_number": "865-312-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFESTANCE THERAPISTS & PSYCHIATRISTS BRENTWOOD",
            "address_2": "9020 OVERLOOK BLVD SUITE 130",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-905-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTOOTH",
        "first_name": "MISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "180015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Rose Malstrom
• Victoria L Mamin, LCSW
• Manding Care Inc
• Julie Ann Mann, LMSW
• Pankaj Manocha, M.D.
• Lacie Dawn Marable, CNM, NP-C
• Sadrack Marcelin
• Amy Mariaskin, PH.D.
• Leah Margaret Strope Markos, AUD
• Kirem Marnett, L. AC.

• Social Worker in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.