MR. KEENER FRYDE HUNEYCUTT (NPI# 1083707913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083707913 |
| Entity Type | Individual |
| Full Name | MR. KEENER FRYDE HUNEYCUTT |
| Credential | MA |
| Practice Address |
900 Buffalo St Magnolia Ridge Treatment Center Johnson City TN 37604 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4232324130 |
| Practice Fax Number | 4232324145 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
900 BUFFALO ST MAGNOLIA RIDGE TREATMENT CENTER |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194155903 | Shauna Gregory | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-11-14 |
| 1831525229 | Monica Renee Tiller | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-09-18 |
| 1457783151 | Erica Walker | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-08-05 |
| 1427494145 | John Brad Davis | Counselor | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-05-21 |
| 1477893162 | Sarahfaye Stanley | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-02-18 |
| 1033458583 | Kimberly A Franklin | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2013-02-04 |
| 1134464118 | Crystal Lee Hill | Licensed Practical Nurse | 900 Buffalo St, Johnson City, TN 37604-6720 | 2012-12-03 |
| 1114273927 | Rene Nolen Huntsinger | Counselor | 900 Buffalo St, Johnson City, TN 37604-6720 | 2012-07-30 |
| 1992086961 | Travis Dean Bailey | Case Manager/Care Coordinator | 900 Buffalo St, Johnson City, TN 37604-6720 | 2011-09-06 |
| 1659690436 | Mellissa Kay Shaw | Licensed Practical Nurse | 900 Buffalo St, Johnson City, TN 37604-6720 | 2010-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248559 | Khia Ladawn Hudgins-smith | Counselor | 2700 S Roan St Ste 410, Johnson City, TN 37601-7638 | 2019-01-03 |
| 1063855575 | Kesha Brooke Brown | Counselor | 208 Quary Rd, Johnson City, TN 37601-7580 | 2013-04-15 |
| 1548514110 | Lawrence Rice | Counselor | 301 W Watauga Ave, Johnson City, TN 37604-5545 | 2012-11-05 |
| 1750668489 | Katherine Combs | Counselor | 4100 N Roan St Ste 214, Johnson City, TN 37601-1103 | 2011-11-09 |
| 1659686327 | Foundations for Life Principles/moral Kombat | Counselor | 2266 N Roan St, Johnson City, TN 37601-2527 | 2010-08-18 |
| 1104144922 | Julie Anna Sears | Counselor | 208 W Fairview Ave, Johnson City, TN 37604-5611 | 2010-05-05 |
| 1871725218 | Kristine Barbara Smith | Counselor | Lamont St & Veterans Way, Johnson City, TN 37604 | 2009-08-19 |
| 1598928350 | Heather Rena Hyder | Counselor | 109 E Watauga Ave, Johnson City, TN 37601-4675 | 2008-07-02 |
| 1457455131 | Wayne Keith Shorter II | Counselor | 109 W Watanga Ave, Johnson City, TN 37604 | 2006-09-12 |
| 1376651661 | Richard Dale Burton | Counselor | 215 Green Valley Dr, Johnson City, TN 37601-1305 | 2006-08-27 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on MR. KEENER FRYDE HUNEYCUTT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.