Individual provider Active NPI

Sarah Ann Ruth Defalco-Gibbs, M.A.

  • Mental Health Counselor
  • Knoxville, TN
National Provider Identifier
1851430318
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Phone
(658) 885-8188
Fax
(865) 888-5819
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 Primary

Addresses

Primary practice location

408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648

Mailing address

408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Phone (658) 885-8188

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Life Connections Counseling Services, PLLC Current Accepting new patients
Life Connections Autism Services Current Accepting new patients

Locations

408 N Cedar Bluff Rd
Ste 305
Knoxville, TN 37923
Phone (865) 888-5818

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1851430318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N CEDAR BLUFF RD STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233648",
            "telephone_number": "658-885-8188",
            "fax_number": "865-888-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N CEDAR BLUFF RD STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233648",
            "telephone_number": "658-885-8188",
            "fax_number": "865-888-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFALCO-GIBBS",
        "first_name": "SARAH",
        "middle_name": "ANN RUTH",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.