Active NPI
Artemis Enrichment & Learning Center, LLC
- Professional Counselor
- Johnson City, TN
National Provider Identifier
1487847091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1498
- Legal business name
- ARTEMIS ENRICHMENT & LEARNING CENTER, LLC
- Practice address
- 112 East Myrtle Avenue
Suite 408
Johnson City, TN 37601 - Phone
- (423) 292-4673
- NPI assigned
- Aug 27, 2007
- Last updated
- Aug 27, 2007
- 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
- Kelly S. Haught, L.P.C., M.H.S.P.
- Title
- Counselor
- Phone
- (423) 292-4673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1498 | TN | Primary |
Addresses
Primary practice location
112 East Myrtle Avenue
Suite 408
Johnson City, TN 37601
Mailing address
PO Box 4475
Johnson City, TN 37602-4475
Phone (423) 292-4673
National Provider Directory
National Provider DirectoryLocations
112 E Myrtle Ave
Ste 408
Johnson City, TN 37601
Phone (423) 202-1969
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188172800000",
"number": "1487847091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4475",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376024475",
"telephone_number": "423-292-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 EAST MYRTLE AVENUE",
"address_2": "SUITE 408",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "423-292-4673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTEMIS ENRICHMENT & LEARNING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A",
"authorized_official_last_name": "HAUGHT",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "423-292-4673",
"authorized_official_credential": "L.P.C., M.H.S.P."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.