Highlands Mindcare, PLLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

HIGHLANDS MINDCARE, PLLC

Practice address

28 Midway St.
Suite 1
Bristol, TN 37620

Phone

(423) 764-2165

Fax

(423) 217-0779

NPI assigned

Dec 10, 2019

Last updated

Oct 16, 2023By 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

Jennifer Jane Keith

Title

Facility Director

Phone

(423) 764-2165

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1376180216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MIDWAY ST.",
            "address_2": "SUITE 1",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-764-2165",
            "fax_number": "423-217-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MIDWAY ST.",
            "address_2": "SUITE 1",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-764-2165",
            "fax_number": "423-217-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS MINDCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "423-764-2165"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "I:EHR",
            "affiliation": "N",
            "endpointDescription": "paper charts",
            "address_1": "3183 W. State St.",
            "address_2": "Suite 1201",
            "city": "Bristol",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth Jared Hess, DO
• Fred Wayne Hicks Jr., MD
• Jada Perry Hicks, BS
• Joshua Aaron Hicks, M.D.
• Highlands Allergy & Asthma Center PC
• Highlands Neurosurgical Associates, PC
• Highlands Pathology Consultants, P.C.
• Highlands Podiatry PLC
• Highlands Urology (Highlands Vasectomy Clinic)
• Highlands Vasectomy Clinic

• Addiction Medicine (Psychiatry & Neurology) Physician in Bristol, TN
• Providers in Bristol, TN by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.