Individual provider Active NPI

Vernon Terry Palmer, LPC/MHSP

  • Counselor
  • Crossville, TN
National Provider Identifier
1902415433
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5317 Issued in TN
Practice address
352 Lantana Rd
Crossville, TN 38555-4900
Phone
(931) 208-0865
NPI assigned
Jul 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5317 TN
Mental Health Counselor 101YM0800X 5317 TN
Professional Counselor 101YP2500X 5317 TN
Counselor 101Y00000X 5317 TN Primary

Addresses

Primary practice location

352 Lantana Rd
Crossville, TN 38555-4900

Mailing address

113 Franklin Village Trce
Kingston, TN 37763-2614
Phone (865) 307-4917

Other practice location 1

508 N Kentucky St
Kingston, TN 37763-2679
Phone (865) 307-4917

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
I20251023000232 TN Practitioner - Mental Health Counselor 7214425040 Reassigns benefits to 1 organization
Practice locations: Kingston, TN

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 Franklin Village Trce
Kingston, TN 37763-2614
Phone (865) 307-4917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5317TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1902415433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 FRANKLIN VILLAGE TRCE",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632614",
            "telephone_number": "865-307-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 LANTANA RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554900",
            "telephone_number": "931-208-0865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 N Kentucky St",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "TN",
            "postal_code": "377632679",
            "country_code": "US",
            "telephone_number": "865-307-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "VERNON",
        "middle_name": "TERRY",
        "credential": "LPC/MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "5317",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5317",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5317",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "5317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.