TRI-STAR COUNSELING, LLC
NPI 1184376741
Social Worker - Clinical in Kingsport, TN

Active since January 24, 2022
208 FERRELL AVE, KINGSPORT, TN 37663(423) 426-6901 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tri-star Counseling, Llc NPPES

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

TRI-STAR COUNSELING, LLC (NPI 1184376741) is a healthcare organization registered as a clinical in Kingsport, Tennessee and active in the NPI registry since January 2022. The organization lists Brent Metcalf, Therapist, as its authorized official.

NPPES Registry Identity

NPI1184376741
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRI-STAR COUNSELING, LLC
Location Address208 FERRELL AVEKingsport, TN 37663-2336
Mailing Address208 Ferrell AveKingsport, TN 37663-2336 · (423) 426-6901
Organization SubpartNo
Authorized OfficialBrent MetcalfTherapist · (423) 426-6901
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1184376741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
208 FERRELL AVE, Kingsport, TN 37663

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-star Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220310002898Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tri-Star Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Social Worker
NPI 1306490024
208 FERRELL AVE
Kingsport, TN 37663
(423) 426-6901
✔ PECOSSame address
Nurse Practitioner
NPI 1629708102
210 COLONIAL HEIGHTS RD
Kingsport, TN 37663
(423) 430-9687
✔ PECOS✔ Accepts Medicare0.7 mi
Mental Health Counselor
NPI 1255163283
4012 FORT HENRY DR
Kingsport, TN 37663
(423) 430-9687
✔ PECOS0.8 mi
Mental Health Counselor
NPI 1710416888
2971 FORT HENRY DR
Kingsport, TN 37664
(423) 392-2975
✔ PECOS✔ Accepts Medicare2.9 mi
Mental Health Counselor
NPI 1457117301
2971 FORT HENRY DR
Kingsport, TN 37664
(423) 392-2975
✔ PECOS2.9 mi
Clinical Social Worker
NPI 1396533725
911 MORISON AVE
Kingsport, TN 37660
(423) 534-5418
✔ PECOS7.2 mi

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-Star Counseling, LLC's NPI number?

The NPI number for Tri-Star Counseling, LLC is 1184376741. It was assigned to this organization in the NPPES registry on January 24, 2022.

Where is Tri-Star Counseling, LLC located?

Tri-Star Counseling, LLC is located at 208 Ferrell Ave, Kingsport, TN 37663. The listed phone number is (423) 426-6901.

What is Tri-Star Counseling, LLC's specialty?

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

Is Tri-Star Counseling, LLC enrolled in Medicare?

Yes. Tri-Star Counseling, LLC is registered in the Medicare PECOS enrollment system.

When is Tri-Star Counseling, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tri-Star Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Tri-Star Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (3), Clinical Social Worker (2) and Nurse Practitioner (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tri-Star Counseling, LLC was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.