Active NPI
Lori Klinger, PH.D.
- Clinical Psychologist
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3555
- Practice address
- 2001 E Stonebrook PL
Kingsport, TN 37660-4000 - Phone
- (423) 224-1000
- Fax
- (423) 467-3644
- NPI assigned
- Feb 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3718 | NC | |
| Clinical Psychologist | 103TC0700X | 3555 | TN | Primary |
Addresses
Primary practice location
2001 E Stonebrook PL
Kingsport, TN 37660-4000
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (426) 467-3600
Other practice location 1
154 Medical Park Loop
Sylva, NC 28779-5271
Phone (828) 631-3973
Other practice location 2
208 East Unaka Avenue
Johnson City, TN 37601
Phone (423) 926-0940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3718 | NC | MD | Mental Health Counselor |
| 3555 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Health | Current | Accepting new patients | |
| Frontier Health | Current | Accepting new patients |
Locations
109 W Watauga Ave
Johnson City, TN 37604
Phone (423) 232-2600
1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670
2001 E Stonebrook Pl
Kingsport, TN 37660
Phone (423) 224-1000
318 Donnelly St
Mountain City, TN 37683
Phone (423) 727-2100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gray, TN
- NPI 1720147408
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1891934675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "426-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E STONEBROOK PL",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604000",
"telephone_number": "423-224-1000",
"fax_number": "423-467-3644"
}
],
"practiceLocations": [
{
"address_1": "154 Medical Park Loop",
"address_purpose": "LOCATION",
"city": "Sylva",
"state": "NC",
"postal_code": "287795271",
"country_code": "US",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 EAST UNAKA AVENUE",
"address_purpose": "LOCATION",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"country_code": "US",
"telephone_number": "423-926-0940",
"fax_number": "423-467-3644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLINGER",
"first_name": "LORI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-18",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3718",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3555",
"primary": true
}
],
"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 Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.