NPIMap

Organization Active NPI

Youth Villages

  • Community/Behavioral Health Agency
  • Johnson City, TN
National Provider Identifier
1093998213
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH VILLAGES
Practice address
3915 Bristol Hwy
Suite 202
Johnson City, TN 37601-1400
Phone
(423) 283-6500
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Vonda Karla Wagner, M.A.
Title
Family Counselor
Phone
(423) 283-6517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3915 Bristol Hwy
Suite 202
Johnson City, TN 37601-1400

Mailing address

3915 Bristol Hwy
Suite 202
Johnson City, TN 37601-1400
Phone (423) 283-6500

National Provider Directory

National Provider Directory

Locations

3915 Bristol Hwy
Ste 202
Johnson City, TN 37601
Phone (423) 283-6500

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1093998213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 BRISTOL HWY",
            "address_2": "SUITE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011400",
            "telephone_number": "423-283-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BRISTOL HWY",
            "address_2": "SUITE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011400",
            "telephone_number": "423-283-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VILLAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "KARLA",
        "authorized_official_title_or_position": "FAMILY COUNSELOR",
        "authorized_official_telephone_number": "423-283-6517",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.