Active NPI
Stacy Rebekah Gruhn, M.S., NCC
- Mental Health Counselor
- Knoxville, TN
National Provider Identifier
1982357190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648 - Phone
- (865) 888-5818
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Mailing address
609 Spring Branch LN
Knoxville, TN 37934-4807
Phone (706) 593-2584
Other names 1
- Stacy Rebekah Burnham
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stacy@lifeconnectionsknox.com | Direct |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1982357190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 SPRING BRANCH LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379344807",
"telephone_number": "706-593-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N CEDAR BLUFF RD STE 305",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233648",
"telephone_number": "865-888-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUHN",
"first_name": "STACY",
"middle_name": "REBEKAH",
"credential": "M.S., NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stacy@lifeconnectionsknox.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "408 N Cedar Bluff Rd Ste 305",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379233648",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STACY",
"last_name": "BURNHAM",
"middle_name": "REBEKAH",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.