Organization Active NPI

Covenant Counseling Center Inc

  • Counselor
  • Kingsport, TN
National Provider Identifier
1396390274
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
COVENANT COUNSELING CENTER INC
Practice address
441 Clay St Ste 2
Kingsport, TN 37660-3693
Phone
(423) 765-0607
Fax
(423) 247-1117
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Ms. Amanda Bright Taylor
Title
Office Manager
Phone
(423) 765-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

441 Clay St Ste 2
Kingsport, TN 37660-3693

Mailing address

PO Box 1323
Kingsport, TN 37662-1323

National Provider Directory

National Provider Directory

Locations

441 Clay St
Ste 2
Kingsport, TN 37660
Phone (423) 247-4536

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1396390274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1323",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376621323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 CLAY ST STE 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603693",
            "telephone_number": "423-765-0607",
            "fax_number": "423-247-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "BRIGHT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-765-0607",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.