Kingsport Counseling Associates, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

617 Issued in TN

Legal business name

KINGSPORT COUNSELING ASSOCIATES, PLLC

Practice address

1417 Warpath Dr
Suite B
Kingsport, TN 37664-3333

Phone

(423) 408-2601

Fax

(888) 395-1262

NPI assigned

Mar 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. L Gordon Brewer Jr., LMFT

Title

President

Phone

(423) 408-2601

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 9

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

• Stephanie Smith Boyles, LCSW

  • Clinical Social Worker
  • Kingsport, TN
  • NPI 1255099156
  NPD (past)
• Luther Gordon Brewer Jr., M.ED., LMFT

  • Marriage & Family Therapist
  • Kingsport, TN
  • NPI 1467508820
  NPD (past)
• Stuart Allan Coleman, MAPC, LPC, MHSP, NCC

  • Mental Health Counselor
  • Maryville, TN
  • NPI 1538618749
  NPD (past)
• Mollie Creel, LCSW

  • Clinical Social Worker
  • Kingsport, TN
  • NPI 1538829114
  NPD (past)
• Andrea Nicole McCloud, MA, NCC

  • Mental Health Counselor
  • Kingsport, TN
  • NPI 1013620285
  NPD (past)
• Jennifer E Miller, LMFT

  • Marriage & Family Therapist
  • Johnson City, TN
  • NPI 1811325194
  NPD (past)
• Kendra Louise Pace, LMSW

  • Clinical Social Worker
  • Kingsport, TN
  • NPI 1790541043
  NPD (past)
• Kayla Pennington Tapia

  • Mental Health Counselor
  • Kingsport, TN
  • NPI 1336761022
  NPD (past)
• Crysta Lynn Dunkerly, LISW

  • Clinical Social Worker
  • Rock Hill, SC
  • NPI 1275888505
  NPD (past)

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1356766133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 HERITAGE LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376649504",
            "telephone_number": "423-408-2601",
            "fax_number": "888-395-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 WARPATH DR",
            "address_2": "SUITE B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643333",
            "telephone_number": "423-408-2601",
            "fax_number": "888-395-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-408-2601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507171",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingsport Anesthesia Associates LLC
• Kingsport Brace and Limb, Inc.
• Kingsport Bronchoscopy Center, Inc.
• Kingsport City Schools
• Kingsport Consultants
• Kingsport Endoscopy Corporation
• Kingsport Family Chiropractic Clinic
• Kingsport Family Medical Care PLLC
• Kingsport Family Recovery Associates
• Kingsport NH Operations, LLC

• Marriage & Family Therapist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.