NPIMap

Organization Active NPI

Tricare Behavorial Health, LLC Group

  • Mental Health Counselor
  • Kingsport, TN
National Provider Identifier
1750599650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRICARE BEHAVORIAL HEALTH, LLC GROUP
Practice address
4024 Fort Henry Dr
Kingsport, TN 37663-2028
Phone
(423) 239-4638
Fax
(423) 239-3266
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
L Bruce McKee
Title
Ceo
Phone
(423) 239-4638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4024 Fort Henry Dr
Kingsport, TN 37663-2028

Mailing address

4024 Fort Henry Dr
Kingsport, TN 37663-2028
Phone (423) 239-4638

National Provider Directory

National Provider Directory

Locations

4024 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 239-4638

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750599650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632028",
            "telephone_number": "423-239-4638",
            "fax_number": "423-239-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632028",
            "telephone_number": "423-239-4638",
            "fax_number": "423-239-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE BEHAVORIAL HEALTH, LLC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-239-4638"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.