NPIMap

Organization Active NPI

Community Health of East Tennessee Inc

Doing business as CHET Behavioral Wellness

  • Clinical Social Worker
  • Jacksboro, TN
National Provider Identifier
1871851345
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMMUNITY HEALTH OF EAST TENNESSEE INC
Doing business as
CHET Behavioral Wellness
Practice address
507 Main St
Jacksboro, TN 37757-2967
Phone
(423) 562-1156
Fax
(423) 566-5106
NPI assigned
May 2, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Teresa W. Dabney
Title
Ceo
Phone
(423) 562-1156

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

507 Main St
Jacksboro, TN 37757-2967

Mailing address

507 Main St
Jacksboro, TN 37757-2967
Phone (423) 562-1156

Other names 1

  • CHET Behavioral Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chet Behavioral Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1871851345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572967",
            "telephone_number": "423-562-1156",
            "fax_number": "423-566-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572967",
            "telephone_number": "423-562-1156",
            "fax_number": "423-566-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH OF EAST TENNESSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "DABNEY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-562-1156"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHET Behavioral Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.