APPALACHIAN BEHAVIOR SUPPORT SERVICES, LLC (NPI# 1548387939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548387939 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN BEHAVIOR SUPPORT SERVICES, LLC |
| Practice Address |
1561 Colony Park Dr Johnson City TN 37604-7183 |
| Mailing Address |
Po Box 5788 Johnson City TN 37602-5788 |
| Practice Telephone | 4236764324 |
| Practice Fax Number | 4234342979 |
| Mailing Telephone | 4236764324 |
| Mailing Fax Number | 4234342979 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VERONICA JOKER (DIRECTOR) |
| Authorized Official Telephone | 4236764324 |
| Authorized Official Credential | MA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 00C64 | 05 |
| Street Address |
1561 COLONY PARK DR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-7183 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005276 | Frontier Health | Community/Behavioral Health | 210 Quarry Rd, Johnson City, TN 37601-7580 | 2018-09-05 |
| 1811433444 | Premier Service of Carolina, Inc | Community/Behavioral Health | 207 N Boone St Ste 300, Johnson City, TN 37604-5675 | 2017-01-06 |
| 1407280225 | Southern Tier Special Needs Resources LLC | Community/Behavioral Health | 38 Margaret St, Johnson City, NY 13790-3016 | 2013-08-28 |
| 1316552060 | Tranquil Jc, LLC | Community/Behavioral Health | 2700 S Roan St Ste 212, Johnson City, TN 37601-7557 | 2020-09-10 |
| 1699110692 | Linked Community Services | Community/Behavioral Health | 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 | 2013-05-03 |
| 1487992939 | Vista Recovery Systems, Inc | Community/Behavioral Health | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2013-01-17 |
| 1073872776 | Etsu Behavioral Health and Wellness Clinic | Community/Behavioral Health | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2012-05-15 |
| 1861700742 | Holly Davis Counseling and Consultation, Pllc | Community/Behavioral Health | 2700 S Roan St, Suite 205, Johnson City, TN 37601-7556 | 2010-09-14 |
| 1093998213 | Youth Villages | Community/Behavioral Health | 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601-1400 | 2007-12-11 |
| 1245455757 | Youth Villages | Community/Behavioral Health | 3915 Bristol Hwy Ste 202, Johnson City, TN 37601-1401 | 2007-04-17 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| 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.