HIGHLAND RIVERS CSB (NPI# 1629131214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629131214 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS CSB |
| Other Organization Name | HIGHLAND RIVERS FLOYD COUNTY OFFICE |
| Practice Address |
6 Mathis Drive, Nw Suite B Rome GA 30165-1242 |
| Mailing Address |
1401 Applewood Drive Suite 1 Dalton GA 30720-2699 |
| Practice Telephone | 7062339023 |
| Practice Fax Number | 7062351585 |
| Mailing Telephone | 7062705002 |
| Mailing Fax Number | 7063707749 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | MR. JASON BEARDEN (CEO) |
| Authorized Official Telephone | 7062705000 |
| Is Organization Subpart | Y |
| Parent Organization Name | HIGHLAND RIVERS CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | ORGANIZATION MASTER NPI | 1447256243 | 01 |
| GA | 000759448N | 05 |
| Other Name | Type Code |
|---|---|
| HIGHLAND RIVERS FLOYD COUNTY OFFICE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003358839 | Highland Rivers Csb | Community/Behavioral Health | 419 N Wall St, Calhoun, GA 30701-1943 | 2016-11-10 |
| 1912060088 | Highland Rivers Csb | Community/Behavioral Health | 320 N River St, Calhoun, GA 30701-1826 | 2006-12-19 |
| 1538222971 | Highland Rivers Csb | Community/Behavioral Health | 323 Roland Rd, Jasper, GA 30143-5336 | 2006-12-18 |
| 1043373467 | Highland Rivers Csb | Community/Behavioral Health | 191 Lamar Haley Dr, Canton, GA 30114-8019 | 2006-12-18 |
| 1164585550 | Highland Rivers Csb | Community/Behavioral Health | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2006-12-18 |
| 1083777650 | Highland Rivers Csb | Community/Behavioral Health | 18090 Highway 515 N, Ellijay, GA 30536-1331 | 2006-12-18 |
| 1417010885 | Highland Rivers Csb | Community/Behavioral Health | 407 N. Thornton Ave, Suite 5, Dalton, GA 30720-3549 | 2006-12-18 |
| 1740343300 | Highland Rivers Csb | Community/Behavioral Health | 650 Joe Frank Harris Pkwy S.e., Cartersville, GA 30120-3962 | 2006-12-18 |
| 1205291085 | Highland Rivers Csb | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-22 |
| 1487019253 | Highland Rivers Csb | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-22 |
| Street Address |
6 MATHIS DRIVE, NW SUITE B |
| City | ROME |
| State | GA |
| Zip Code | 30165-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861555450 | Highland Rivers Csb | Community/Behavioral Health | 6 Mathis Drive, Nw, Suite A, Rome, GA 30165-1242 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1578994026 | J Keith Fricks Counseling LLC | Community/Behavioral Health | 10 E Creekview Dr Sw, Rome, GA 30165-3805 | 2013-12-10 |
| 1770829103 | Highland Rivers Community Service Board | Community/Behavioral Health | 7 Crosscreek Dr Nw, Rome, GA 30165-1202 | 2012-12-12 |
| 1598018491 | Highland Rivers Community Service Board | Community/Behavioral Health | 4 Glenda Dr Sw, Rome, GA 30165-3622 | 2012-10-17 |
| 1104179001 | Highland Rivers Community Service Board | Community/Behavioral Health | 4 East 10th Street, Rome, GA 30161-6164 | 2012-10-17 |
| 1295088193 | Highland Rivers Community Service Board | Community/Behavioral Health | 112 Rising Fawn Trl Ne, Rome, GA 30165-8675 | 2012-10-17 |
| 1982957965 | Highland Rivers Community Service Board | Community/Behavioral Health | 210 Coney Circle, Rome, GA 30161-0000 | 2012-10-16 |
| 1871845867 | Highland Rivers Community Service Board | Community/Behavioral Health | 382 Collier Rd Ne, Rome, GA 30165-8003 | 2012-10-15 |
| 1235481227 | Highland Rivers Community Service Board | Community/Behavioral Health | 104 Harrison Rd Nw, Rome, GA 30165-1016 | 2012-10-15 |
| 1316299670 | Highland Rivers Community Service Board | Community/Behavioral Health | 90 Gore Dr, Rome, GA 30161-1998 | 2012-10-11 |
| Find all providers in ROME | ||||
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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.