NPIMap

Organization Active NPI

Mountain Youth Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mountain City, TN
National Provider Identifier
1083832117
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
L237M21261695 Issued in TN
Legal business name
MOUNTAIN YOUTH ACADEMY
Practice address
332 Hospital Rd
Mountain City, TN 37683-4309
Phone
(423) 727-9898
Fax
(423) 727-9899
NPI assigned
Apr 23, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Miss Clara E. Smith, LCSW
Title
Therapist
Phone
(423) 727-9898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X L237M21261695 TN
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X L237M21261695 TN Primary

Addresses

Primary practice location

332 Hospital Rd
Mountain City, TN 37683-4309

Mailing address

332 Hospital Rd
Mountain City, TN 37683-4309
Phone (423) 727-9898

National Provider Directory

National Provider Directory
Tax ID family
Keystone Continuum LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083832117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HOSPITAL RD",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834309",
            "telephone_number": "423-727-9898",
            "fax_number": "423-727-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HOSPITAL RD",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834309",
            "telephone_number": "423-727-9898",
            "fax_number": "423-727-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN YOUTH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "423-727-9898",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L237M21261695",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TN",
            "license": "L237M21261695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.