MR. JOHN TYLER OVERSTREET (NPI# 1497729701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497729701 |
| Entity Type | Individual |
| Full Name | MR. JOHN TYLER OVERSTREET |
| Credential | LSPE, LPC |
| Practice Address |
111 Center Park Dr Suite 1300 Knoxville TN 37922-2103 |
| Mailing Address |
Po Box 966 Kingston TN 37763-0966 |
| Practice Telephone | 8656939997 |
| Mailing Telephone | 8653769879 |
| Mailing Fax Number | 8657172777 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC422 | TN | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | PE1317 | TN | Behavioral Health & Social Service Providers |
| Street Address |
111 CENTER PARK DR SUITE 1300 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282631 | Charles E Martin | Psychologist | 111 Center Park Dr, Suite 1300, Knoxville, TN 37922-2103 | 2005-08-11 |
| 1336659234 | Leslie Erin Wilson-charles | Marriage & Family Therapist | 111 Center Park Dr, Ste 111, Knoxville, TN 37922 | 2017-10-05 |
| 1588818876 | Becki Garland | Counselor | 111 Center Park Dr, Suite 150, Knoxville, TN 37922-2103 | 2008-11-12 |
| 1801920053 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 111 Center Park Dr, Ste 204, Knoxville, TN 37922-2103 | 2007-03-16 |
| 1275666083 | James Henry Montgomery | Psychologist | 111 Center Park Dr, Suite 1300, Knoxville, TN 37922-2103 | 2007-03-13 |
| 1366585804 | Michelle Dianne Portman | Social Worker | 111 Center Park Dr, Ste 1300, Knoxville, TN 37922-2124 | 2007-02-15 |
| 1609878198 | Patricia Abbarno | Social Worker | 111 Center Park Dr, Suite 1300, Knoxville, TN 37922-2124 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454291 | Candis Maria Cochran | Counselor | 10740 Faith Promise Ln, Knoxville, TN 37931-1304 | 2020-10-14 |
| 1508471798 | Stephanie Mclain Wasserman | Counselor | 10411 Kates Path Ln, Knoxville, TN 37932-1574 | 2020-09-14 |
| 1639703747 | Catherine Ellen Hallam | Counselor | 408 N Cedar Bluff Rd Ste 305, Knoxville, TN 37923-3648 | 2020-02-27 |
| 1073144507 | Amy Lynn Dilworth | Counselor | 8700 Trapper Ln, Knoxville, TN 37931-4258 | 2020-02-03 |
| 1942792130 | Shannon Susanne Mcbride | Counselor | 8848 Cedar Springs Ln Ste 201, Knoxville, TN 37923-5416 | 2018-06-04 |
| 1487144283 | Wiest-barbian Counseling and Consulting LLC | Counselor | 1400 N 6th Ave, Knoxville, TN 37917-6043 | 2018-05-16 |
| 1043713985 | Lakshmi Rekha Subbanna | Counselor | 714 Fox Landing Ln, Knoxville, TN 37922-8306 | 2018-03-16 |
| 1245733401 | Amy L. Skinner | Counselor | 10426 Jackson Oaks Way Ste 102, Knoxville, TN 37922-0709 | 2018-03-14 |
| 1194227843 | Tracy Marie Serrano | Counselor | 9724 Kingston Pike Ste 605, Knoxville, TN 37922-6900 | 2018-03-07 |
| 1811499841 | Jeffery Cockerham | Counselor | 5364 N Broadway St, Knoxville, TN 37918-3238 | 2018-03-06 |
| Find all providers in KNOXVILLE | ||||
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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.