MATTIE N CROCKETT LPC, MHSP
NPI 1952975005
Counselor - Professional in Kingsport, TN

Active since May 13, 2021
1536 BRIDGEWATER LN STE 104, KINGSPORT, TN 37660(423) 534-7824 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Nov 5, 2021, Oct 19, 2021 and 1 more (4 updates tracked since 2021).

About Mattie N Crockett Lpc, Mhsp NPPES

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

MATTIE N CROCKETT LPC, MHSP (NPI 1952975005) is an individual professional provider in Kingsport, Tennessee, licensed in Tennessee (4912) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1952975005
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMATTIE N CROCKETTCredential: LPC, MHSP
Location Address1536 BRIDGEWATER LN STE 104Kingsport, TN 37660-4103
Mailing Address301 Larkspur DrKingsport, TN 37660-6225 · (276) 639-5676
Sole ProprietorNo
Enumeration DateMay 13, 2021
Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1952975005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TN · 4912
1536 BRIDGEWATER LN STE 104, Kingsport, TN 37660

Other Identifiers 1

Other4912TN · Lpc-mhsp

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Health Service)
1536 BRIDGEWATER LN STE 104
KINGSPORT, TN 37660
Registered Nurse
1536 BRIDGEWATER LN STE 104
KINGSPORT, TN 37660

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 Mattie Crockett's NPI number?

The NPI number for Mattie Crockett is 1952975005. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Mattie Crockett located?

Mattie Crockett practices at 1536 Bridgewater Ln Ste 104, Kingsport, TN 37660. The listed phone number is (423) 534-7824.

What is Mattie Crockett's specialty?

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

What insurance does Mattie Crockett accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Mattie Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mattie Crockett was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.