Active NPI
Frontier Health
Doing business as Bristol Regional Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bristol, TN
National Provider Identifier
1235291295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- L-214-076-1404
- Legal business name
- FRONTIER HEALTH
- Doing business as
- Bristol Regional Counseling Center
- Practice address
- 26 Midway St
Bristol, TN 37620-1706 - Phone
- (423) 989-4500
- Fax
- (423) 989-4582
- NPI assigned
- Dec 15, 2006
- Last updated
- Jan 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristie Hammonds
- Title
- President and Ceo
- Phone
- (423) 467-3600
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | L-214-076-1404 | TN | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | L-214-076-1404 | TN | Primary |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 361 | TN | |
| Community/Behavioral Health Agency | 251S00000X | L-214-076-1404 | TN |
Addresses
Primary practice location
26 Midway St
Bristol, TN 37620-1706
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49-4915-3 | Medicaid | VA | |
| SAME AS MEDICARE #S | Medicaid | TN |
Other names 1
- Bristol Regional Counseling Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000560 | TN | Part B Supplier - Clinic/Group Practice | 2860302320 |
Receives reassigned benefits from 124 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bristol, TN; Sneedville, TN; Rogersville, TN; Mountain City, TN; Kingsport, TN; Johnson City, TN; Greeneville, TN; Gray, TN… |
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hawkins County Mental Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rogersville, TN
- NPI 1043374564
O20040109000560
-
dba Hancock County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
O20040109000560
-
dba Fairview Associates of Johnson City
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1134282551
O20040109000560
-
dba Adventure Program
- Adolescent and Children Mental Health Clinic/Center
- Johnson City, TN
- NPI 1235298720
O20040109000560
-
dba Watauga Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Johnson City, TN
- NPI 1386700383
O20040109000560
-
dba Johnson County Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mountain City, TN
- NPI 1396809851
O20040109000560
-
dba Erwin Mental Health Center
- Case Management Agency
- Erwin, TN
- NPI 1568524759
O20040109000560
-
dba Holston Children & Youth Services
- Adolescent and Children Mental Health Clinic/Center
- Kingsport, TN
- NPI 1578627006
O20040109000560
-
dba Holston Counseling Center
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1700940251
O20040109000560
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gray, TN
- NPI 1720147408
O20040109000560
-
dba Nolachuckey -Holston Area Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeneville, TN
- NPI 1760547004
O20040109000560
-
dba Tennessee Community Support Services
- Adult Mental Health Clinic/Center
- Bristol, TN
- NPI 1821154352
O20040109000560
National Provider Directory
National Provider Directory- Tax ID family
- Lee County Integrated Care
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Adolescent Drug and Alcohol Recovery
- Adolescent and Children Mental Health Clinic/Center
- Bristol, TN
- NPI 1013078716
-
dba Hawkins County Mental Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rogersville, TN
- NPI 1043374564
-
dba Hancock County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
-
dba Magnolia Ridge
- Substance Abuse Rehabilitation Facility
- Johnson City, TN
- NPI 1053476333
-
dba Fairmount Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bristol, TN
- NPI 1073735643
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1093958944
-
dba Gibson Place 210
- Psychiatric Residential Treatment Facility
- Johnson City, TN
- NPI 1124463849
-
dba Fairview Associates of Johnson City
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1134282551
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1144460817
-
dba Crisis Triage
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1174005276
-
dba Adventure Program
- Adolescent and Children Mental Health Clinic/Center
- Johnson City, TN
- NPI 1235298720
-
dba Roller Russ Residence for Independent Living
- Mental Illness Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1265597280
Locations
26 Midway St
Bristol, TN 37620
Phone (423) 989-4500
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Social Worker
- Greeneville, TN
- NPI 1811900947
-
- Clinical Social Worker
- Abingdon, VA
- NPI 1841366705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578614400000",
"number": "1235291295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MIDWAY ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201706",
"telephone_number": "423-989-4500",
"fax_number": "423-989-4582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A",
"authorized_official_last_name": "HAMMONDS",
"authorized_official_first_name": "KRISTIE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TN",
"license": "L-214-076-1404",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "TN",
"license": "L-214-076-1404",
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "TN",
"license": "361",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "L-214-076-1404",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49-4915-3",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SAME AS MEDICARE #S",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bristol Regional Counseling Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bristol Regional Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bristol, TN
- Franklin Cambridge Operations, LLC (The Cambridge House)
- Franklin Healthcare, Inc.
- Rachel K Freeman, NP
- Frontier Health (Adolescent Drug and Alcohol Recovery)
- Frontier Health (Fairmount Group Home)
- Frontier Health
- Frontier Health (Supportive Living - Bristol)
- Frontier Health (R. Grant Widner Group Home)
- Frontier Health (Bristol Behavioral Health Services)
- Frontier Health (Tennessee Community Support Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.