Individual provider Active NPI

Jean P Whitinger, LMFT

  • Marriage & Family Therapist
  • Johnson City, TN
National Provider Identifier
1568459741
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
198 Issued in TN
Practice address
208 Sunset Dr
Suite 410
Johnson City, TN 37604-2517
Phone
(423) 943-1139
Fax
(423) 915-0862
NPI assigned
Oct 3, 2005
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 198 TN Primary

Addresses

Primary practice location

208 Sunset Dr
Suite 410
Johnson City, TN 37604-2517

Mailing address

208 Sunset Dr
Suite 410
Johnson City, TN 37604-2517
Phone (423) 943-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
198TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1568459741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SUNSET DR",
            "address_2": "SUITE 410",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042517",
            "telephone_number": "423-943-1139",
            "fax_number": "423-915-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SUNSET DR",
            "address_2": "SUITE 410",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042517",
            "telephone_number": "423-943-1139",
            "fax_number": "423-915-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITINGER",
        "first_name": "JEAN",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "198",
            "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 6, 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.