Organization Active NPI

Cognitive Behavioral Specialists of the Tri-Cities

  • Social Worker
  • Kingsport, TN
National Provider Identifier
1538237987
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW0000003421 Issued in TN
Legal business name
COGNITIVE BEHAVIORAL SPECIALISTS OF THE TRI-CITIES
Practice address
2758 E Center St
Kingsport, TN 37664-2754
Phone
(423) 245-5608
Fax
(423) 245-5600
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Cheri Anglin, LCSW
Title
General Partner
Phone
(423) 245-5608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LSW0000003421 TN Primary

Addresses

Primary practice location

2758 E Center St
Kingsport, TN 37664-2754

Mailing address

2758 E Center St
Kingsport, TN 37664-2754
Phone (423) 245-5608

Other identifiers 1

IdentifierTypeStateIssuer
3922813MedicaidTN

Other names 1

  • CBS of the Tri-cities Other name

National Provider Directory

National Provider Directory

Locations

2758 E Center St
Kingsport, TN 37664
Phone (423) 245-5608

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1538237987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642754",
            "telephone_number": "423-245-5608",
            "fax_number": "423-245-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642754",
            "telephone_number": "423-245-5608",
            "fax_number": "423-245-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIORAL SPECIALISTS OF THE TRI-CITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "423-245-5608",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000003421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3922813",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBS of the Tri-cities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 18, 2016; 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.