Individual provider Active NPI

Ana Hume, LPC

  • Professional Counselor
  • Maryville, TN
National Provider Identifier
1821148552
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0848 Issued in TN
Practice address
210 Simmons St
Maryville, TN 37801-4750
Phone
(865) 970-9800
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0848 TN Primary

Addresses

Primary practice location

210 Simmons St
Maryville, TN 37801-4750

Mailing address

2900 Tazewell Pike
Ste G
Knoxville, TN 37918-1880
Phone (865) 742-6488

Other practice location 1

2900 Tazewell Pike
Ste G
Knoxville, TN 37918-1880
Phone (865) 742-6488

Other identifiers 3

IdentifierTypeStateIssuer
20-4481954OtherTNTN TAX IDENTIFICATION NUM
1506720MedicaidTN
Q033994MedicaidTN

Other names 1

  • Nanci Lee Chaffin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0848TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center Past Accepting new patients
Parkwest Medical Center Past Accepting new patients
New Path PLLC PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821148552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 TAZEWELL PIKE",
            "address_2": "STE G",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181880",
            "telephone_number": "865-742-6488",
            "fax_number": "865-689-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SIMMONS ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014750",
            "telephone_number": "865-970-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Tazewell Pike",
            "address_2": "Ste G",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379181880",
            "country_code": "US",
            "telephone_number": "865-742-6488",
            "fax_number": "865-689-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUME",
        "first_name": "ANA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "0848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN TAX IDENTIFICATION NUM",
            "identifier": "20-4481954",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506720",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033994",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCI",
            "last_name": "CHAFFIN",
            "middle_name": "LEE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.