Kristen Mir, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000005255 Issued in TN

Practice address

2514 1/2 Wesley St Ste 2
Johnson City, TN 37601-1754

Phone

(423) 529-0385

Fax

(423) 414-2699

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Zahradnik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tranquility Insight and Healing Therapy Services

  • Clinical Social Worker
  • Johnson City, TN
  • NPI 1841871324
  NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1689714651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 1/2 WESLEY ST STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011754",
            "telephone_number": "423-529-0385",
            "fax_number": "423-414-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 1/2 WESLEY ST STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011754",
            "telephone_number": "423-529-0385",
            "fax_number": "423-414-2699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 Cross Park Dr",
            "address_2": "Suite 475",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234506",
            "country_code": "US",
            "telephone_number": "865-560-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIR",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "CSW0000006858",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ZAHRADNIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mini Miracles Pediatric Therapy, PLLC
• Amanda M Minick, PT
• Erica Michelle Minton, DNP-CRNA
• Hayley M Minton, MSN, APRN, FNP-BC
• Wendi Y Minutolo
• David J. Miranda, D.D.S.
• Garik T Misenar, MD
• Samardia Missick, MD
• Misty Horn-Blake D.D.S PC
• Brock Thomas Mitchell, M.D.

• Clinical Social Worker in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.