Individual provider Active NPI

Kristina Ann Villareal, LPC-MHSP

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1851998561
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5693 Issued in TN
Practice address
600 Arthur St
Knoxville, TN 37921-6405
Phone
(865) 637-9711
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 5693 TN Primary

Addresses

Primary practice location

600 Arthur St
Knoxville, TN 37921-6405

Mailing address

112 S David LN
Knoxville, TN 37922-3203
Phone (630) 220-3752

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
I20250703000831 TN Practitioner - Mental Health Counselor 2365955101 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Practice addresses (Care Compare)

1101 Persimmon Ridge Rd
Jonesborough, TN 37659-5239
Phone (423) 753-8711

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

7424 Middlebrook Pike
Knoxville, TN 37909-3109
Phone (865) 693-7705

880 S Mohawk Dr
Erwin, TN 37650-2125
Phone (423) 743-7669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5693TNMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jun 4, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 4, 2025 Accepting new patients
BH Services Southeast 1 PC CurrentSince Aug 4, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 4, 2025 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Aug 4, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 5

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1851998561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S DAVID LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223203",
            "telephone_number": "630-220-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ARTHUR ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379216405",
            "telephone_number": "865-637-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAREAL",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.