NPIMap

Organization Active NPI

Tricare Behavorial Health LLC

  • Community/Behavioral Health Agency
  • Kingsport, TN
National Provider Identifier
1891844973
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L 2(14)M2-106-1632 Issued in TN
Legal business name
TRICARE BEHAVORIAL HEALTH LLC
Practice address
4024 Fort Henry Dr
Kingsport, TN 37663-2028
Phone
(423) 239-4638
Fax
(423) 239-5249
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Lowell Bruce McKee
Title
Ceo
Phone
(423) 239-2190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L 2(14)M2-106-1632 TN Primary
Community/Behavioral Health Agency 251S00000X L 2(14)M2-106-1633 TN

Addresses

Primary practice location

4024 Fort Henry Dr
Kingsport, TN 37663-2028

Mailing address

4024 Fort Henry Dr
Kingsport, TN 37663-2028
Phone (423) 239-4638

Other identifiers 2

IdentifierTypeStateIssuer
L 2(14)M2-106-1633OtherTNTRICARE BRISTOL LICENSE
L 2(14)M2-106-1632OtherTNSTRESS CARE ASSOC LICENSE

Other names 1

  • STRESS CARE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1891844973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632028",
            "telephone_number": "423-239-4638",
            "fax_number": "423-239-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632028",
            "telephone_number": "423-239-4638",
            "fax_number": "423-239-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE BEHAVORIAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-239-2190"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L 2(14)M2-106-1632",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L 2(14)M2-106-1633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE BRISTOL LICENSE",
            "identifier": "L 2(14)M2-106-1633",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STRESS CARE ASSOC LICENSE",
            "identifier": "L 2(14)M2-106-1632",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRESS CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 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.