Individual provider Active NPI

Mary Angela Chastain Kennedy, LPC-MHSP (T), NCC

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1922987189
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7237 Issued in TN
Practice address
11840 Kingston Pike Ste B
Knoxville, TN 37934-3861
Phone
(865) 588-3173
NPI assigned
Aug 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 7237 TN Primary
Mental Health Counselor 101YM0800X 7237 TN

Addresses

Primary practice location

11840 Kingston Pike Ste B
Knoxville, TN 37934-3861

Mailing address

11840 Kingston Pike Ste B
Knoxville, TN 37934-3861

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

LicenseStateTypeSpecialty
7237TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Sep 3, 2025 Accepting new patients

Locations

11840 Kingston Pike
Ste B
Knoxville, TN 37934

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": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1922987189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 KINGSTON PIKE STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 KINGSTON PIKE STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343861",
            "telephone_number": "865-588-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN KENNEDY",
        "first_name": "MARY",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP (T), NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7237",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "7237",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2025; 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.