JONATHAN MCCOLLUM LCSW
NPI 1003002734
Social Worker - Clinical in Maryville, TN

Q: What is Jonathan Mccollum's NPI number?

The NPI number for Jonathan Mccollum is 1003002734. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Q: What is Jonathan Mccollum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mccollum was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment

210 SIMMONS ST, MARYVILLE, TN 37801(865) 970-9800(865) 374-7129 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jonathan Mccollum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN MCCOLLUM LCSW (NPI 1003002734) is an individual clinical provider in Maryville, Tennessee, licensed in Tennessee (6020) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003002734

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJONATHAN MCCOLLUMCredential: LCSW

Location Address210 SIMMONS STMaryville, TN 37801-4750

Mailing Address1451 Dowell Springs BlvdKnoxville, TN 37909-2441 · (865) 374-7123 · Fax (865) 374-7129

Phone(865) 970-9800

Fax(865) 374-7129

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 17, 2007

Last NPPES UpdateJune 11, 2014

✔ NPI 1003002734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TN · 6020

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselorTaxonomy 101Y00000X

210 SIMMONS ST, Maryville, TN 37801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Mccollum Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234354077

PECOS Enrollment IDI20140710001338, I20230731003068

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Mccollum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

River Region Psychiatry Associates LLC

264 mi

Psychiatry

233 WINTON BLOUNT LOOP
Montgomery, AL 36117

Reassigned Medicare billing, Georgia and Tennessee enrollments
17 clinicians in this Medicare group

NPI 1386891497 (334) 270-5502

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERMERA Y SMITH

Counselor (Mental Health)