Kari Marie Vincent, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6005 Issued in TN

Practice address

2841 Russet Ridge Dr
Clarksville, TN 37040-5181

Phone

(813) 493-8769

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

No

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

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.

• Healing Haven LLC

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1295570950
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1821833583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 RUSSET RIDGE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405181",
            "telephone_number": "813-493-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 RUSSET RIDGE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405181",
            "telephone_number": "813-493-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "KARI",
        "middle_name": "MARIE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vetnurse LLC
• Viable Wellness
• Victoria Williams Therapy PLLC
• Christal F Vieira
• Jerome Timothy Viltz
• Tabitha Vincent
• Crescentia Spare Vinson, NP
• Jennifer D Vinson
• Annalisa M Viramontes
• Vircille Counseling & Consulting Services, PLLC

• Mental Health Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.