Iron Mountain Counseling & Consultation, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000001852 Issued in TN

Legal business name

IRON MOUNTAIN COUNSELING & CONSULTATION, LLC

Practice address

204 Rogosin Dr
Suite 1
Elizabethton, TN 37643-2965

Phone

(423) 542-9900

Fax

(423) 542-0900

NPI assigned

Mar 18, 2011

Last updated

Mar 18, 2011By 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

Mrs. Deanna Lynn Irick, M.ED., NCC, LPC-MHSP

Title

President

Phone

(423) 542-9900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1730488628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ROGOSIN DR",
            "address_2": "SUITE 1",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432965",
            "telephone_number": "423-542-9900",
            "fax_number": "423-542-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ROGOSIN DR",
            "address_2": "SUITE 1",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432965",
            "telephone_number": "423-542-9900",
            "fax_number": "423-542-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON MOUNTAIN COUNSELING & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "IRICK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-542-9900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., NCC, LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000001852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.