Community Recovery Center of Roane County Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COMMUNITY RECOVERY CENTER OF ROANE COUNTY INC

Practice address

155 E Race St
Kingston, TN 37763-2800

Phone

(865) 270-2323

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Jefferson Jay Haney

Title

Director of Operations

Phone

(865) 270-2323

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel James Buongiorno, M-RAS, MATC, CAMS II

  • Addiction (Substance Use Disorder) Counselor
  • Kingston, TN
  • NPI 1073468294
  NPD (past)
• Barbara Ann Phillips, LADAC II, CAMS II

  • Addiction (Substance Use Disorder) Counselor
  • Kingston, TN
  • NPI 1144175340
  NPD (past)

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1093660235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632800",
            "telephone_number": "865-270-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632800",
            "telephone_number": "865-270-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RECOVERY CENTER OF ROANE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "865-270-2323"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dierdre Louise Charlett
• Clara Cobb, M.D.
• Mandy Colburn, LADAC II
• Linda Sue Cole, MSN, FNP
• Katie Rhea Collins, PA-C
• Compounding Pharmacy of Kingston Inc
• Lauren Copeland, PTA
• Lindsay Carey Cunningham, RDN, LDN
• Jennifer Gail Daugherty, FNP-C
• Laura Lynne Davis, PHARMACIST

• Substance Use Disorder Rehabilitation Clinic/Center in Kingston, TN
• Providers in Kingston, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.