MR. THOMAS RUSSELL HUMBERD


Address: 5410 Homberg Drive, Ste 14, Knoxville, TN 37919
Phone: 8655883173

MR. THOMAS RUSSELL HUMBERD (NPI# 1780691626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780691626
Entity Type Individual
Full Name MR. THOMAS RUSSELL HUMBERD
Credential MS LPC MHSP
Practice Address 5410 Homberg Drive
Ste 14
Knoxville
TN 37919
Practice Telephone 8655883173
Practice Fax Number 8655883174
Mailing Telephone 8655883173
Mailing Fax Number 8655883174
Enumeration Date 2006-08-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LPC0000001609 TN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PRIVATE HEALTH CARE SYSTE 9375370 01
COMPSYCH 244504 01
MANAGED HEALTH NETWORK 359710 01
PRINCIPLE GROUP LIFE 9375370 01
JOHN DEERE HEALTH TN0104 01
CHA HEALTH 1220955 01
BLUE CROSS BLUE SHIELD 4105431 01

Office Location

Street Address 5410 HOMBERG DRIVE
STE 14
City KNOXVILLE
State TN
Zip Code 37919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518030972 Deborah J Hill Counselor 5410 Homberg Drive, Suite 28, Knoxville, TN 39919 2006-11-15

Providers in the same zip code

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
Find all providers in zip 37919

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912512377 Wes Allen Counselor 123 Center Park Dr, Knoxville, TN 37922-2166 2020-09-12
1619581717 Natasha Schwinn Counselor 2015 Maplewood Dr, Knoxville, TN 37920-2750 2020-09-04
1316558695 Lauren Claire Lay Counselor 123 Center Park Dr Ste 104, Knoxville, TN 37922-2167 2020-08-11
1285250423 Krista Asp Counselor 504 Bobolink Rd, Knoxville, TN 37934-4722 2020-06-23
1710507660 Constance King Counselor 9111 Cross Park Dr Ste E275, Knoxville, TN 37923-4532 2020-04-21
1407402688 Allysen Efferson Counselor 9505 Fortress Ln, Knoxville, TN 37922-6683 2019-08-14
1265096242 Leigh Mitchell Owens Counselor 5401 Kingston Pike Ste 495, Knoxville, TN 37919-5043 2019-04-25
1205399003 Ann Clark Wheeler Counselor 6906 Kingston Pike Ste 104, Knoxville, TN 37919-5704 2019-04-09
1609335140 Emily Ruth Ellis Counselor 416 Country Oak Cir, Knoxville, TN 37909-3430 2019-03-14
1154891596 Lesley Shiver Counselor 4109 Garden Dr, Knoxville, TN 37918-3504 2018-11-28
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Competitor

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City KNOXVILLE
Zip Code 37919

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Dataset Information

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.

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