Organization Active NPI

Tri-Cities Center for Christian Counseling

  • Professional Counselor
  • Kingsport, TN
National Provider Identifier
1841476637
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2220 Issued in TN
Legal business name
TRI-CITIES CENTER FOR CHRISTIAN COUNSELING
Practice address
1111 N Eastman Rd
Kingsport, TN 37664-3156
Phone
(423) 246-5111
Fax
(423) 246-5288
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Elizabeth Anne Kitzmiller, PH.D., LPC-MHSPNPI 1790969293
Title
Counselor
Phone
(423) 246-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2220 TN Primary
Marriage & Family Therapist 106H00000X 1088 LA

Addresses

Primary practice location

1111 N Eastman Rd
Kingsport, TN 37664-3156

Mailing address

1111 N Eastman Rd
Kingsport, TN 37664-3156
Phone (423) 246-5111

National Provider Directory

National Provider Directory

Locations

1111 N Eastman Rd
Kingsport, TN 37664
Phone (423) 246-5111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1841476637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N EASTMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643156",
            "telephone_number": "423-246-5111",
            "fax_number": "423-246-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N EASTMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643156",
            "telephone_number": "423-246-5111",
            "fax_number": "423-246-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES CENTER FOR CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "KITZMILLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "423-246-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2220",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.