Tri-Cities Eating Disorder Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TRI-CITIES EATING DISORDER THERAPY

Practice address

2700 S Roan St Ste 203
Johnson City, TN 37601-7557

Phone

(423) 708-6982

NPI assigned

May 17, 2019

Organization subpart

No

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

Authorized official

Name

Cathaleen Blake, LPCNPI 1952642811

Title

Owner, Therapist

Phone

(423) 708-6982

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathaleen Lynn Blake, M.A., LPC

  • Professional Counselor
  • Johnson City, TN
  • NPI 1952642811
  NPD (past) Authorized official

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1821654583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 203",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017557",
            "telephone_number": "423-708-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 203",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017557",
            "telephone_number": "423-708-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES EATING DISORDER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CATHALEEN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "423-708-6982",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri Cities Esthetics, Inc.
• Tri Cities Men'S Health
• Tri Star Strength X Rehab
• Tri State Mountain Neurology Associates PC
• Tri-Cities Behavioral Therapy, LLC
• Tri-Cities Observation Services, PC
• Tri-Cities Outpatient Surgery, Inc.
• Tri-Cities Regional Emergency Physicians, PC
• Tri-Cities Therapy & Counseling
• Tri-Cities Transportation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.