Tri-Star Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRI-STAR COUNSELING, LLC

Practice address

208 Ferrell Ave
Kingsport, TN 37663-2336

Phone

(423) 426-6901

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By 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

Brent Metcalf, LCSWNPI 1306490024

Title

Therapist

Phone

(423) 426-6901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Brent Metcalf, LCSW

  • Clinical Social Worker
  • Kingsport, TN
  • NPI 1306490024
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin Kent Wagner, LPC-MHSP

  • Mental Health Counselor
  • Kingsport, TN
  • NPI 1255163283
  Medicare reassignment Care Compare group NPD
• Robin Marlene Craig, LCSW

  • Clinical Social Worker
  • Kingsport, TN
  • NPI 1396533725
  Care Compare group
• Malerie Bolinsky, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
  • NPI 1629708102
  NPD (past)
• Blair Haren Hickman, MSSW LCSW

  • Social Worker
  • Johnson City, TN
  • NPI 1992809909
  NPD (past)
• Michelle Ann Rucker, LPC-MHSP TEMP

  • Mental Health Counselor
  • Kingsport, TN
  • NPI 1922978907
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1184376741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FERRELL AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632336",
            "telephone_number": "423-426-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FERRELL AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632336",
            "telephone_number": "423-426-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STAR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "423-426-6901",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Acupuncture and Wellness LLC.
• Tri-Cities Center for Christian Counseling
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• Tri-Cities Gastroenterology LLC
• Tri-Cities Pediatric Therapy, LLC
• Tricare Behavorial Health LLC (Stress Care Associates)
• Tricare Behavorial Health, LLC Group
• Trinity Medical Services, PLLC
• Annie Elizabeth Trivett, LPN
• Kevin Wayne Trivette, ATC

• Clinical Social Worker in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.