Individual provider Active NPI

Alec Doede, LPC/MHSP

  • Professional Counselor
  • Maryville, TN
National Provider Identifier
1922815570
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7527 Issued in TN
Practice address
402 Greenbelt Dr
Maryville, TN 37804-5702
Phone
(865) 338-5384
Fax
(865) 338-5383
NPI assigned
Dec 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7527 TN Primary

Addresses

Primary practice location

402 Greenbelt Dr
Maryville, TN 37804-5702

Mailing address

324 Golanvyi TRL
Vonore, TN 37885-2647
Phone (865) 229-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7527TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Next Step Behavioral Health LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

207 N Boone St
Ste 13
Johnson City, TN 37604
Phone (865) 219-3937

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": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1922815570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GOLANVYI TRL",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852647",
            "telephone_number": "865-229-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GREENBELT DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045702",
            "telephone_number": "865-338-5384",
            "fax_number": "865-338-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEDE",
        "first_name": "ALEC",
        "credential": "LPC/MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.