ADAM BLAKE MCCLOUD (NPI# 1265083125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265083125 |
| Entity Type | Individual |
| Full Name | ADAM BLAKE MCCLOUD |
| Credential | LPC-MHSP |
| Practice Address |
609 Hamilton St Johnson City TN 37604-5403 |
| Mailing Address |
1362 Old Snapps Ferry Rd Chuckey TN 37641-4241 |
| Practice Telephone | 4238630280 |
| Mailing Telephone | 4238630280 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4653 | TN | Behavioral Health & Social Service Providers |
| Street Address |
609 HAMILTON ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5403 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225542020 | Andrew James Baker | Counselor | 926 W Oakland Ave Ste 202, Johnson City, TN 37604-1445 | 2017-12-01 |
| 1013434828 | The Journey Center for Healing Arts, Pllc | Counselor | 2700 S Roan St Ste 435, Johnson City, TN 37601-7587 | 2017-08-23 |
| 1215396916 | Marissa Jordan | Counselor | 268 Christian Church Rd Ste 2, Johnson City, TN 37615-4484 | 2016-02-23 |
| 1871977488 | Joshua Nickels | Counselor | 780 Harry L Dr, Johnson City, NY 13790-1036 | 2015-07-13 |
| 1700287810 | Jennifer Stuart Miller | Counselor | 3915 Bristol Hwy Ste 101, Johnson City, TN 37601-1400 | 2014-09-08 |
| 1740447556 | Joseph Carter Johnston II | Counselor | 2700 South Roan Street, Suite 205, Johnson City, TN 37601 | 2008-05-20 |
| 1962616318 | William Edward Stanley | Counselor | 1206 E 9th Ave, Johnson City, TN 37601-3426 | 2007-05-09 |
| 1548302581 | Charles Alan Banner | Counselor | 3950 Bristol Hwy, Johnson City, TN 37601-1378 | 2007-02-13 |
| 1124160007 | Alanna Anne Marie Wendt | Counselor | 3915 Bristol Hwy., Suite 202, Johnson City, TN 37601-1400 | 2007-02-13 |
| 1285776609 | Sarah Leigh Gardner | Counselor | 3915 Bristol Hwy Ste 202, Johnson City, TN 37601-1401 | 2007-02-13 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on ADAM BLAKE MCCLOUD.
| 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.