NPIMap

Organization Active NPI

Bearden Behavioral Health, LLC

  • Exclusive Provider Organization
  • Knoxville, TN
National Provider Identifier
1700223773
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
BEARDEN BEHAVIORAL HEALTH, LLC
Practice address
8848 Cedar Springs LN
Suite 201
Knoxville, TN 37923-5415
Phone
(865) 212-6600
Fax
(865) 313-2149
NPI assigned
May 30, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Dawn Fortich, LCSWNPI 1205277977
Title
Owner
Phone
(865) 212-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

8848 Cedar Springs LN
Suite 201
Knoxville, TN 37923-5415

Mailing address

8848 Cedar Springs LN
Suite 201
Knoxville, TN 37923-5415
Phone (865) 212-6600

National Provider Directory

National Provider Directory

Locations

162 Market Place Blvd
Ste D
Knoxville, TN 37922
Phone (865) 212-6600

194 Market Place Blvd
Ste B
Knoxville, TN 37922
Phone (865) 212-6600

8848 Cedar Springs Ln
Ste 201
Knoxville, TN 37923
Phone (865) 212-6600

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700223773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 CEDAR SPRINGS LN",
            "address_2": "SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235415",
            "telephone_number": "865-212-6600",
            "fax_number": "865-313-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 CEDAR SPRINGS LN",
            "address_2": "SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235415",
            "telephone_number": "865-212-6600",
            "fax_number": "865-313-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARDEN BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FORTICH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-212-6600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.