Frontier Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FRONTIER HEALTH

Doing business as

Bristol Behavioral Health Services

Practice address

1145 Volunteer Pkwy
Bristol, TN 37620-4652

Phone

(423) 989-4500

NPI assigned

May 2, 2024

Last updated

May 2, 2024By 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

Diane K Bowen, MED

Title

Sr. VP of Operations

Phone

(423) 467-3600

Specialties & licenses 1

Addresses

Other names 1

• Bristol Behavioral Health Services Doing business as

Tax ID family

Wise County Integrated Care62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Frontier Health

  dba Holston Residence

  • Community/Behavioral Health Agency
  • Kingsport, TN
  • NPI 1669694220
  NPD tax ID
• Frontier Health

  • Mental Illness Community Based Residential Treatment Facility
  • Gray, TN
  • NPI 1699101618
  NPD tax ID
• Frontier Health

  dba Supportive Living - Bristol

  • Community/Behavioral Health Agency
  • Bristol, TN
  • NPI 1699826735
  NPD tax ID
• Frontier Health

  dba Holston Counseling Center

  • Community/Behavioral Health Agency
  • Kingsport, TN
  • NPI 1700940251
  NPD tax ID
• Frontier Health

  dba Frontier Industries Kingsport

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kingsport, TN
  • NPI 1700941721
  NPD tax ID
• Frontier Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gray, TN
  • NPI 1720147408
  NPD tax ID
• Frontier Health

  dba Victory Center

  • Rehabilitation Clinic/Center
  • Johnson City, TN
  • NPI 1730245010
  NPD tax ID
• Frontier Health

  dba Nolachuckey -Holston Area Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeneville, TN
  • NPI 1760547004
  NPD tax ID
• Frontier Health

  dba Traces

  • Foster Care Agency
  • Kingsport, TN
  • NPI 1760838197
  NPD tax ID
• Frontier Health

  dba Midland Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingsport, TN
  • NPI 1780556860
  NPD tax ID
• Frontier Health

  dba R. Grant Widner Group Home

  • Mental Illness Community Based Residential Treatment Facility
  • Bristol, TN
  • NPI 1801018387
  NPD tax ID
• Frontier Health

  dba Virginia's Place

  • Substance Abuse Rehabilitation Facility
  • Johnson City, TN
  • NPI 1811053341
  NPD tax ID

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.

• Elizabeth Louise Mullins, MSSW LCSW

  • Social Worker
  • Greeneville, TN
  • NPI 1811900947
  NPD (past)
• Patricia E Buston, LCSW

  • Clinical Social Worker
  • Abingdon, VA
  • NPI 1841366705
  NPD (past)

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1811744477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 VOLUNTEER PKWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204652",
            "telephone_number": "423-989-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SR. VP OF OPERATIONS",
        "authorized_official_telephone_number": "423-467-3600",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frontier Health (Fairmount Group Home)
• Frontier Health (Bristol Regional Counseling Center)
• Frontier Health
• Frontier Health (Supportive Living - Bristol)
• Frontier Health (R. Grant Widner Group Home)
• Frontier Health (Tennessee Community Support Services)
• Frontier Health (Frontier Industries Bristol)
• Katy Fuqua Fuqua
• Paige Clifton Furrow, M.D.
• Sonja L Furse, PMHNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bristol, TN
• Providers in Bristol, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.