Active NPI
Frontier Health
Doing business as Tennessee Community Support Services
- Adult Mental Health Clinic/Center
- Bristol, TN
National Provider Identifier
1821154352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- L 214-076-1428
- Legal business name
- FRONTIER HEALTH
- Doing business as
- Tennessee Community Support Services
- Practice address
- 266 North St
Bristol, TN 37620-1660 - Phone
- (423) 989-4558
- Fax
- (423) 989-4570
- NPI assigned
- Dec 29, 2006
- Last updated
- Aug 1, 2019
- 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
- Robin Denise Denton, BSOM
- Title
- Um Coordinator
- Phone
- (423) 467-3600
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | L 214-076-1428 | TN | |
| Adult Mental Health Clinic/Center | 261QM0850X | L 214-076-1428 | TN | Primary |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | L 214-076-1428 | TN | |
| Community/Behavioral Health Agency | 251S00000X | L 214-076-1428 | TN |
Addresses
Primary practice location
266 North St
Bristol, TN 37620-1660
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3920247 | Medicaid | TN |
Other names 1
- Tennessee Community Support Services
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 Nolachuckey -Holston Area Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeneville, TN
- NPI 1760547004
O20040109000560
National Provider Directory
National Provider Directory- Tax ID family
- Frontier Health
Organizations with this tax ID in the same state 20
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- 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
-
dba Nolachuckey -Holston Area Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeneville, TN
- NPI 1760547004
-
dba Midland Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kingsport, TN
- NPI 1780556860
-
dba R. Grant Widner Group Home
- Mental Illness Community Based Residential Treatment Facility
- Bristol, TN
- NPI 1801018387
-
dba Virginia's Place
- Substance Abuse Rehabilitation Facility
- Johnson City, TN
- NPI 1811053341
-
dba Bristol Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bristol, TN
- NPI 1811744477
Locations
266 North St
Bristol, TN 37620
Phone (423) 989-4558
1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670
Practitioners & affiliated clinicians
Practitioners 28
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.
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1245515634
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1003153404
-
- Nurse Practitioner
- Bristol, TN
- NPI 1467556142
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1952484636
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1861575540
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1659518108
-
- Clinical Social Worker
- Bristol, TN
- NPI 1851897631
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Johnson City, TN
- NPI 1114941291
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1043393721
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1083828693
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1588809701
-
- Case Manager/Care Coordinator
- Bristol, TN
- NPI 1275776304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564617600000",
"number": "1821154352",
"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": "266 NORTH ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201660",
"telephone_number": "423-989-4558",
"fax_number": "423-989-4570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2019-08-01",
"status": "A",
"authorized_official_last_name": "DENTON",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "UM COORDINATOR",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_credential": "BSOM"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TN",
"license": "L 214-076-1428",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "TN",
"license": "L 214-076-1428",
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "TN",
"license": "L 214-076-1428",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "L 214-076-1428",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3920247",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tennessee Community Support Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tennessee Community Support Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bristol, TN
- Frontier Health (Bristol Regional Counseling Center)
- Frontier Health
- Frontier Health (Supportive Living - Bristol)
- Frontier Health (R. Grant Widner Group Home)
- Frontier Health (Bristol Behavioral Health Services)
- Frontier Health (Frontier Industries Bristol)
- Katy Fuqua Fuqua
- Paige Clifton Furrow, M.D.
- Sonja L Furse, PMHNP
- Further Physiotherapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.