Appalachian Therapy and Evaluation Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010375 Issued in NC

Legal business name

APPALACHIAN THERAPY AND EVALUATION CORP

Doing business as

Mentor Behavioral Healthcare, Inc

Practice address

249 Wilson Dr Ste 5
Boone, NC 28607-8782

Phone

(828) 278-9498

Fax

(877) 211-7323

NPI assigned

Nov 3, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Bowman McKinney, LCSW

Title

Manager

Phone

(828) 263-6158

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mentor Behavioral Healthcare, Inc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1063924785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1361",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071361",
            "telephone_number": "828-278-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WILSON DR STE 5",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078782",
            "telephone_number": "828-278-9498",
            "fax_number": "877-211-7323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 State Farm Rd",
            "address_2": "Suite 304, Box #4",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074914",
            "country_code": "US",
            "telephone_number": "828-278-9498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPALACHIAN THERAPY AND EVALUATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "BOWMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-263-6158",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107381",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentor Behavioral Healthcare, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Appalachian State University (Communication Disorders Clinic)
• Appalachian State University (MS Shook Student Health Service)
• Appalachian State University
• Appalachian State University
• Appalachian State University Student Health Services
• Elizabeth Dolan Ardoin, MS, PT
• Rachel Arledge
• Ascent Psychiatry PLLC
• Peter Thomas Ashline, M.D.
• William S Atkins, M.D.

• Clinical Social Worker in Boone, NC
• Providers in Boone, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.