Active NPI
Frontier Health
Doing business as Nolachuckey -Holston Area Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeneville, TN
National Provider Identifier
1760547004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- L 214-076-1423
- Legal business name
- FRONTIER HEALTH
- Doing business as
- Nolachuckey -Holston Area Mental Health Center
- Practice address
- 401 Holston Dr
Greeneville, TN 37743-3127 - Phone
- (423) 639-1104
- Fax
- (423) 636-8365
- NPI assigned
- Dec 27, 2006
- Last updated
- Oct 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Teresa M Kidd, PHD
- Title
- President and Ceo
- Phone
- (423) 467-3600
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | L 214-076-1423 | TN | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | L 214-076-1423 | TN | Primary |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 368 | TN | |
| Community/Behavioral Health Agency | 251S00000X | L 241-076-1423 | TN |
Addresses
Primary practice location
401 Holston Dr
Greeneville, TN 37743-3127
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49-4918-8 | Medicaid | VA | |
| SAME AS MEDICARE #S | Medicaid | TN |
Other names 1
- Nolachuckey -Holston Area Mental Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000560 | TN | Part B Supplier - Clinic/Group Practice | 2860302320 |
Receives reassigned benefits from 124 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bristol, TN; Sneedville, TN; Rogersville, TN; Mountain City, TN; Kingsport, TN; Johnson City, TN; Greeneville, TN; Gray, TN… |
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hawkins County Mental Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rogersville, TN
- NPI 1043374564
O20040109000560
-
dba Hancock County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
O20040109000560
-
dba Fairview Associates of Johnson City
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1134282551
O20040109000560
-
dba Bristol Regional Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bristol, TN
- NPI 1235291295
O20040109000560
-
dba Adventure Program
- Adolescent and Children Mental Health Clinic/Center
- Johnson City, TN
- NPI 1235298720
O20040109000560
-
dba Watauga Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Johnson City, TN
- NPI 1386700383
O20040109000560
-
dba Johnson County Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mountain City, TN
- NPI 1396809851
O20040109000560
-
dba Erwin Mental Health Center
- Case Management Agency
- Erwin, TN
- NPI 1568524759
O20040109000560
-
dba Holston Children & Youth Services
- Adolescent and Children Mental Health Clinic/Center
- Kingsport, TN
- NPI 1578627006
O20040109000560
-
dba Holston Counseling Center
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1700940251
O20040109000560
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gray, TN
- NPI 1720147408
O20040109000560
-
dba Tennessee Community Support Services
- Adult Mental Health Clinic/Center
- Bristol, TN
- NPI 1821154352
O20040109000560
National Provider Directory
National Provider Directory- Tax ID family
- Lee County Integrated Care
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Johnson City, TN
- NPI 1417197153
-
dba Supported Living - Kingsport
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1508917642
-
dba Holston Children & Youth Services
- Adolescent and Children Mental Health Clinic/Center
- Kingsport, TN
- NPI 1578627006
-
dba Turning Point
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1619529971
-
dba Holston Residence
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1669694220
-
- Mental Illness Community Based Residential Treatment Facility
- Gray, TN
- NPI 1699101618
-
dba Supportive Living - Bristol
- Community/Behavioral Health Agency
- Bristol, TN
- NPI 1699826735
-
dba Holston Counseling Center
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1700940251
-
dba Frontier Industries Kingsport
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1700941721
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gray, TN
- NPI 1720147408
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychologist
- Greeneville, TN
- NPI 1386656403
-
- Social Worker
- Greeneville, TN
- NPI 1811900947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538611200000",
"number": "1760547004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"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": "401 HOLSTON DR",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377433127",
"telephone_number": "423-639-1104",
"fax_number": "423-636-8365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2018-10-04",
"status": "A",
"authorized_official_last_name": "KIDD",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TN",
"license": "L 214-076-1423",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "TN",
"license": "L 214-076-1423",
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "TN",
"license": "368",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "L 241-076-1423",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49-4918-8",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SAME AS MEDICARE #S",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nolachuckey -Holston Area Mental Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nolachuckey -Holston Area Mental Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greeneville, TN
- Theodore D Fox, NP
- Free Will Baptist Family Ministries, Inc.
- John Leon Freeman Jr., M.D.
- Laura Elizabeth Freshour, R.N.
- Susan Laird Fritz, M.S., CCC-SLP
- Frontier Health (Church Street Pavilion/Victory Center)
- Frontier Health
- Frontier Health (Church Street Pavilion)
- Stephanie Ann Frost, DC
- James Jeffery Fuller, RRT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.