Community Impact Alliance

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

COMMUNITY IMPACT ALLIANCE

Practice address

2266 N Roan St
Johnson City, TN 37601-2527

Phone

(423) 262-0180

Fax

(423) 262-0181

NPI assigned

Aug 18, 2010

Last updated

Aug 18, 2010By 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

Ms. Carrie Davis MarchantNPI 1447038807

Title

Partner

Phone

(423) 262-0180

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Carrie Davis Marchant, PMFT

  • Marriage & Family Therapist
  • Jonesborough, TN
  • NPI 1447038807
  Authorized official Same address or phone

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1811202500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012527",
            "telephone_number": "423-262-0180",
            "fax_number": "423-262-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012527",
            "telephone_number": "423-262-0180",
            "fax_number": "423-262-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY IMPACT ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "MARCHANT",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "423-262-0180",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emalee Elizabeth Patton Combs, MD
• Katherine Combs, LPC-MHSP
• Marshall Clay Combs, DPH
• Jennifer Commons
• Community Chiropractic Clinic LLC (Balanced Healing Center)
• Comprehensive Community Services, Inc
• Comprehensive Home Healthcare Services LLC (Amedisys Home Health)
• Courtney D Conkin, FNP
• Emily Fabel Conkin, CCC-SLP
• Onnie John Conkin

• Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.