MS. FAITH M MAHONEY (NPI# 1235208596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235208596 |
| Entity Type | Individual |
| Full Name | MS. FAITH M MAHONEY |
| Credential | LPC LADAC |
| Practice Address |
109 West Watauga Avenue Johnson City TN 37605 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4232322600 |
| Practice Fax Number | 4232322646 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC1692 | TN | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | LDC928 | TN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1692 | TN | Behavioral Health & Social Service Providers |
| Street Address |
109 WEST WATAUGA AVENUE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124122114 | Ali Al Garatli | Psychiatry & Neurology | 109 West Watauga Avenue, Johnson City, TN 37605 | 2006-09-11 |
| 1457600561 | Kate A Emmerich | Counselor | 109 West Watauga Avenue, Johnson City, TN 37601 | 2012-09-05 |
| 1053697789 | Brittany S Mitchell | Counselor | 109 West Watauga Avenue, Johnson City, TN 37604 | 2011-10-26 |
| 1003055807 | Hayley Christian Henderson | Counselor | 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604 | 2009-02-18 |
| 1356465801 | Firoz B Munshi | Psychiatry & Neurology | 109 West Watauga Avenue, Johnson City, TN 37605 | 2007-03-19 |
| 1083742134 | Myra Kay Edgeworth | Social Worker | 109 West Watauga Avenue, Johnson City, TN 37604 | 2007-03-01 |
| 1356489017 | Emily Ann Jennings | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37604 | 2007-02-02 |
| 1528106598 | Rose Marie Vanhuss | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37605 | 2007-02-02 |
| 1568500817 | Erin Lee Jones | Social Worker | 109 West Watauga Avenue, Johnson City, TN 37601 | 2007-02-01 |
| 1528106879 | Jason Donald Rice | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37605 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598835738 | Jennifer Lee Puett | Case Manager/Care Coordinator | 109 West Watauga Ave, Johnson City, TN 37605 | 2006-11-08 |
| 1285717504 | Misty Dawn Adams | Case Manager/Care Coordinator | 109 W Watauga, Johnson City, TN 37605 | 2006-10-23 |
| 1376681684 | Nancy E Cross | Counselor | 109 West Watauga Ave, Johnson City, TN 37605 | 2007-02-01 |
| 1447398722 | Mark Gregory Gogan | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37605 | 2007-02-01 |
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497508 | Emily Hand | Counselor | 1200 Southwest Ave, Johnson City, TN 37604-6520 | 2020-11-08 |
| 1447860192 | Kasey Smith | Counselor | 2349 Ranch Road 1323, Johnson City, TX 78636-4787 | 2020-08-07 |
| 1912547142 | David Earl Ramsey | Counselor | 170 Frank Humphreys Ln, Johnson City, TN 37601-3637 | 2020-01-15 |
| 1003329517 | Summit Counseling Services LLC | Counselor | 4132 Bristol Hwy Ste 5, Johnson City, TN 37601-3162 | 2017-11-07 |
| 1952642811 | Cathaleen Lynn Blake | Counselor | 2700 S Roan St Ste 203, Johnson City, TN 37601-7557 | 2013-03-01 |
| 1609101575 | Mary E Marley | Counselor | 2700 S Roan St Ste 400, Johnson City, TN 37601-7678 | 2009-10-12 |
| 1811141344 | Tonya L. Mckoy | Counselor | 1735 W State of Franklin Rd # 5-227, Johnson City, TN 37604-6573 | 2008-11-11 |
| 1346415254 | Danny Kellum | Counselor | 2722 E Oakland Ave, Johnson City, TN 37601-1844 | 2008-04-23 |
| 1487847091 | Artemis Enrichment & Learning Center, LLC | Counselor | 112 East Myrtle Avenue, Suite 408, Johnson City, TN 37601 | 2007-08-27 |
| 1174674725 | Rose M Shea | Counselor | 420 Ivy Pl, Johnson City, NY 13790-4933 | 2007-01-12 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37605 |
Please comment or provide details below to improve the information on MS. FAITH M MAHONEY.
| 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.