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DESIREE NICHOLAS
NPI 1568984946
Counselor - Professional in Knoxville, TN

Active since July 07, 2017
5310 BALL CAMP PIKE, KNOXVILLE, TN 37921(865) 539-2409 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2022, Oct 6, 2021, May 24, 2021 and 4 more (7 updates tracked since 2017).

About Desiree Nicholas NPPES

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

DESIREE NICHOLAS (NPI 1568984946) is an individual professional provider in Knoxville, Tennessee, licensed in Tennessee (5007) and active in the NPI registry since July 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568984946
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDESIREE NICHOLAS
Location Address5310 BALL CAMP PIKEKnoxville, TN 37921-3234
Mailing Address200 Tech Center DrKnoxville, TN 37912-2747 · (865) 637-9711 · Fax (865) 450-4286
Phone(865) 539-2409
Sole ProprietorNo
Enumeration DateJuly 7, 2017
Last NPPES UpdateMay 16, 20227 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1568984946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 5007
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5310 BALL CAMP PIKE, Knoxville, TN 37921
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Secondary Practice Locations 2

Location 1201 W Springdale AveKnoxville, TN 37917 · Phone (865) 637-9711
Location 21704 E Broadway AveMaryville, TN 37804 · Phone (865) 681-6990

Other Identifiers 1

MedicaidQ066275TN

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.

SARAH BETH WEIGEL
Registered Nurse
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 637-9711
NILA RUTH DAVIS
Behavior Technician
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 541-6958
CHRISTINA DODD CPRS
Behavior Technician
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 523-4704
SARA A COX
Behavior Technician
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 523-4704
MRS. KATHRYN MARIE BLACK LPN
Licensed Practical Nurse
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 523-4704
SHAWN PROFFITT
Counselor (Addiction (Substance Use Disorder))
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 523-4704
CHESTON WEST
Case Manager/Care Coordinator
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 523-4704
STORMY DUNLAP
Behavior Technician
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921
Knox County (865) 523-4704

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 Desiree Nicholas's NPI number?

The NPI number for Desiree Nicholas is 1568984946. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Desiree Nicholas located?

Desiree Nicholas practices at 5310 Ball Camp Pike, Knoxville, TN 37921. The listed phone number is (865) 539-2409.

What is Desiree Nicholas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Desiree Nicholas was last updated on May 16, 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.