Individual provider Active NPI

Angela L. Mobley-McCoy, MA, LSPE

  • Mental Health Counselor
  • Knoxville, TN
National Provider Identifier
1851499537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PE0000001547 Issued in TN
Practice address
1930 Alcoa Hwy Ste 435 BLDG a
Knoxville, TN 37920-1520
Phone
(865) 544-9030
Fax
(865) 544-6675
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PE0000001547 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy Ste 435 BLDG a
Knoxville, TN 37920-1520

Mailing address

1937 Belcaro Dr
Knoxville, TN 37918-3709
Phone (865) 689-6744

Other identifiers 1

IdentifierTypeStateIssuer
41114851OtherTNBCBS TN ID NUMBER

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

State licenses

LicenseStateTypeSpecialty
PE0000001547TNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851499537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 BELCARO DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183709",
            "telephone_number": "865-689-6744",
            "fax_number": "865-689-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 435 BLDG A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520",
            "telephone_number": "865-544-9030",
            "fax_number": "865-544-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY-MCCOY",
        "first_name": "ANGELA",
        "middle_name": "L.",
        "credential": "MA, LSPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "PE0000001547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN ID NUMBER",
            "identifier": "41114851",
            "state": "TN"
        }
    ],
    "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 Jul 8, 2007; 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.