Frontier Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

315-07-004 Issued in VA

Legal business name

FRONTIER HEALTH

Doing business as

Wise County Behavioral Health Services

Practice address

295 Wharton Lane
Norton, VA 24273-1541

Phone

(276) 523-8300

Fax

(276) 523-6964

NPI assigned

Dec 29, 2006

Last updated

Nov 26, 2024By 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

Cristi Lynn Blalock, BSNPI 1730685504

Title

Director of Contracting/ Compliance

Phone

(423) 467-3741

Specialties & licenses 5

Addresses

Other names 1

• Wise County Behavioral Health Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lee County Integrated Care62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Frontier Health

  dba Independence House

  • Community/Behavioral Health Agency
  • Big Stone Gap, VA
  • NPI 1194875039
  NPD tax ID
• Frontier Health

  dba Scott County Behavioral Health Services

  • Case Management Agency
  • Weber City, VA
  • NPI 1194881623
  NPD tax ID
• Frontier Health

  dba Addington Hall

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Duffield, VA
  • NPI 1194886788
  NPD tax ID
• Frontier Health

  dba Sunhouse Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bristol, VA
  • NPI 1205987849
  NPD tax ID
• Frontier Health

  dba Independence Unlimited

  • Developmentally Disabled Services Day Training Agency
  • Duffield, VA
  • NPI 1235280892
  NPD tax ID
• Frontier Health

  dba Community Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Big Stone Gap, VA
  • NPI 1285463307
  NPD tax ID
• Frontier Health

  dba Polly Summit

  • Mental Illness Community Based Residential Treatment Facility
  • Big Stone Gap, VA
  • NPI 1427109560
  NPD tax ID
• Frontier Health

  dba Hawthorne Place

  • Community/Behavioral Health Agency
  • Norton, VA
  • NPI 1457022832
  NPD tax ID
• Frontier Health

  dba Pierce House Residential Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Big Stone Gap, VA
  • NPI 1518018654
  NPD tax ID
• Frontier Health

  dba Lee County Behavioral Health Services

  • Case Management Agency
  • Jonesville, VA
  • NPI 1659436228
  NPD tax ID
• Frontier Health

  dba Developmental Services

  • Developmentally Disabled Services Day Training Agency
  • Big Stone Gap, VA
  • NPI 1669517561
  NPD tax ID
• Frontier Health

  dba Park Place Residential Service

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Duffield, VA
  • NPI 1790836831
  NPD tax ID

Practitioners 3

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.

• Cristi Lynn Blalock

  • Counselor
  • Johnson City, TN
  • NPI 1730685504
  Authorized official Same address or phone
• Daphne Dawn Blanton, M.ED

  • Professional Counselor
  • Big Stone Gap, VA
  • NPI 1700924099
  NPD (past)
• Linda R Thompson, MD

  • Psychiatry Physician
  • Bristol, TN
  • NPI 1952411753
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1649336173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 WHARTON LANE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731541",
            "telephone_number": "276-523-8300",
            "fax_number": "276-523-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING/ COMPLIANCE",
        "authorized_official_telephone_number": "423-467-3741",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "315-16-001",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "315-07-004",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "VA",
            "license": "315-07-004",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "315-03-001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "315-07-004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise County Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leutshia C Franks, NP
• Free Will Baptist Family Ministries (Victory Boys' Home)
• James Everette Freeman Jr.
• Roseann J Freundel, DO
• Frontier Health (Hawthorne Place)
• Kristina Gardner, FNP
• Angela Denise Gervais, RD
• Jaleesa N Gibson
• Kenneth Scott Gilliam, RPH
• Orson Go, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Norton, VA
• Providers in Norton, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.