CANDICE AMBER MCMILLAN (NPI# 1255967717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255967717 |
| Entity Type | Individual |
| Full Name | CANDICE AMBER MCMILLAN |
| Practice Address |
6020 Lyons View Pike Knoxville TN 37919-6214 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8652461420 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6020 LYONS VIEW PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861856973 | William Mcamis | Case Manager/Care Coordinator | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2016-04-06 |
| 1376156745 | Alexandria Keller | Student in an Organized Health Care Education/Training Program | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-08-26 |
| 1003426131 | Kristy Stewart | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-08-04 |
| 1366068603 | Morgan Kristen Mullins | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-06-23 |
| 1295356749 | Alexandria Mullen | Counselor | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-05-06 |
| 1598386609 | Ashley Nashai Mills | Counselor | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-04-29 |
| 1265090161 | Alyssa Lee Elizabeth Fares | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2019-06-05 |
| 1225696131 | Rachel Nicole Sitton | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2019-06-05 |
| 1144887902 | Chelsea Lynn Josey | Counselor | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2019-05-28 |
| 1972069441 | Timothy Mark Widener | Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2019-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727815 | Abbey Nicole Reeves | Counselor | 2455 Sutherland Ave Bldg F, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1932732435 | Todd M Davis | Counselor | 5104 Beaver Dam Ln, Knoxville, TN 37931-3688 | 2020-02-13 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1578020566 | Talia Lee Mccarty | Counselor | 2455 Sutherland Ave Bldg A, Knoxville, TN 37919-2355 | 2019-02-26 |
| 1932679065 | Edna Booker | Counselor | 3213 River Maple Way Apt 307, Knoxville, TN 37914-6374 | 2018-12-02 |
| 1881183408 | Sarah Leeann Mcmahan I | Counselor | 5310 Ball Camp Pike # 76, Knoxville, TN 37921-3234 | 2018-05-09 |
| 1346765104 | Melanie Beth Hasson | Counselor | 9041 Executive Park Dr Ste Office17, Knoxville, TN 37923-4621 | 2017-08-13 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1447607775 | Lisa Marie Jones | Counselor | 123 Center Park Dr Ste 106, Knoxville, TN 37922-2168 | 2016-05-17 |
| 1629498209 | Jacob David Smith | Counselor | 3932 W Martin Mill Pike, Knoxville, TN 37920-2457 | 2014-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.