DESIREE NICHOLAS
NPI 1568984946
Counselor - Professional in Knoxville, TN

NPI Status: Active since July 07, 2017

Contact Information

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921
Phone: (865) 539-2409

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  • Individual
  • Female
  • Counselor
  • Professional

About DESIREE NICHOLAS

This page provides the complete NPI Profile along with additional information for Desiree Nicholas, a provider established in Knoxville, Tennessee with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1568984946 assigned on July 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 5007 (TN). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1568984946
Provider Name
DESIREE NICHOLAS
Gender
Female
Entity Type
Individual
Location Address
5310 BALL CAMP PIKE KNOXVILLE, TN 37921
Location Phone
(865) 539-2409
Mailing Address
200 TECH CENTER DR KNOXVILLE, TN 37912
Mailing Phone
(865) 637-9711
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
07-07-2017
Last Update Date
05-16-2022
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Location Map

Secondary Locations

  • 201 W Springdale Ave
    Knoxville, TN 37917
    (865) 637-9711
  • 1704 E Broadway Ave
    Maryville, TN 37804
    (865) 681-6990

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
5007
License State
TN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q066275MEDICAID (05)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568984946
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128188898
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 8 + 8 + 8 + 9 + 8 + 24 = 84
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 84 = 66

The NPI number 1568984946 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

EMMALEE MARIE KINCER

Case Manager/Care Coordinator

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

NICHOLAS EUGENE QUINTOIS

Case Manager/Care Coordinator

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 637-9711

MRS. KATHRYN MARIE BLACK LPN

Licensed Practical Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

KIMBERLEIGH ANSARI

Case Manager/Care Coordinator

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

MRS. BILLIE JO UNDERWOOD LPN

Licensed Practical Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

JASON DEWAYNE SANDS

Licensed Practical Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

CHESTON WEST

Case Manager/Care Coordinator

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

JENNIFER JEAN TARWATER LPN

Licensed Practical Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

HANH M TRAN MA

Counselor

(Mental Health)

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

JANE SOSOO

Counselor

(Mental Health)

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

MS. TIFFANY MARIE FAIN RN

Registered Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

ANDREA MICHELLE CUTSHAW

Licensed Practical Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

DR. ARUN JETHANANDANI M.D.

Psychiatry & Neurology

(Psychiatry)

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

DANA YOUNG

Licensed Practical Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 637-9711

CECILIA ANN MARIE STEELE

Specialist/Technologist, Health Information

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

AMIE LEONARD

Counselor

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 637-9711

KATRINA MARIE SMITH-CROWTHER

Behavior Technician

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

MRS. MARGARET EFFLENA GLEASON REGISTERED NURSE

Registered Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

CARRIE ANN HUFSTETLER

Licensed Practical Nurse

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 637-9711

KATHRYN HARRIS

Behavior Technician

5310 BALL CAMP PIKE
KNOXVILLE, TN
ZIP 37921

(865) 523-4704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568984946, enumerated as an "individual" on July 07, 2017.

The provider is located at 5310 BALL CAMP PIKE KNOXVILLE, TN 37921 and the phone number is (865) 539-2409.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.