Individual provider Active NPI

Rachael Bolton, LPC-MHSP

  • Mental Health Counselor
  • Knoxville, TN
National Provider Identifier
1821340134
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6932 Issued in TN
Practice address
9129 Cross Park Dr # 100
Knoxville, TN 37923-4505
Phone
(865) 983-1899
Fax
(865) 409-5948
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6932 TN Primary

Addresses

Primary practice location

9129 Cross Park Dr # 100
Knoxville, TN 37923-4505

Mailing address

9129 Cross Park Dr # 100
Knoxville, TN 37923-4505
Phone (865) 983-1899

Other names 1

  • Rachael Madden-Connor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001481 TN Practitioner - Mental Health Counselor 2163959180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Behavioral and Mental Health ServicesGroup PAC ID 7416455977, 3 clinicians

Practice addresses (Care Compare)

9129 Cross Park Dr
Suite 100
Knoxville, TN 37923-4505
Phone (865) 983-1899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6932TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Behavioral & Mental Health Services CurrentSince Dec 1, 2025 Accepting new patients

Locations

9129 Cross Park Dr
#100
Knoxville, TN 37923
Phone (865) 983-1899

Organizations & group practices 1

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1821340134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 CROSS PARK DR # 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234505",
            "telephone_number": "865-983-1899",
            "fax_number": "865-409-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 CROSS PARK DR # 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234505",
            "telephone_number": "865-983-1899",
            "fax_number": "865-409-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "RACHAEL",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MADDEN-CONNOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.