Active NPI
Kelly Marie Vance, LPC-MHSP
- Counselor
- Nashville, TN
National Provider Identifier
1861216541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5931
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-3133 - Phone
- (615) 322-3000
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5931 | TN | |
| Mental Health Counselor | 101YM0800X | 5931 | TN | |
| Counselor | 101Y00000X | 5931 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-3133
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (256) 361-5167
Other practice location 1
2619 Pennington Ave # C
Nashville, TN 37216-3810
Phone (256) 361-5167
Other practice location 2
1601 23rd Ave S
Nashville, TN 37212-3133
Phone (615) 875-1401
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5931 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1861216541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691",
"telephone_number": "256-361-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372323133",
"telephone_number": "615-322-3000"
}
],
"practiceLocations": [
{
"address_1": "2619 Pennington Ave # C",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372163810",
"country_code": "US",
"telephone_number": "256-361-5167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372123133",
"country_code": "US",
"telephone_number": "615-875-1401",
"fax_number": "615-322-4856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANCE",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "5931",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "5931",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "5931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.