LINKED COMMUNITY SERVICES (NPI# 1699110692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699110692 |
Entity Type | Organization |
Organization Name | LINKED COMMUNITY SERVICES |
Practice Address |
2514 Wesley St Suite 102 Johnson City TN 37601-1764 |
Mailing Address |
Po Box 4272 Johnson City TN 37602-4272 |
Practice Telephone | 4236310622 |
Practice Fax Number | 4236310623 |
Mailing Telephone | 4236310622 |
Mailing Fax Number | 4236310623 |
Enumeration Date | 2013-05-03 |
Last Update Date | 2013-05-03 |
Authorized Official Name | STEVE SHERFEY (MEMBER) |
Authorized Official Telephone | 4236310622 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 717334 | TN | Agencies |
Street Address |
2514 WESLEY ST SUITE 102 |
City | JOHNSON CITY |
State | TN |
Zip Code | 37601-1764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902888944 | Bryan Daniel Lorch | Physician Assistant | 2514 Wesley St, 102, Johnson City, TN 37601-1764 | 2005-11-16 |
1841741196 | Grace Internal Medicine, LLC | Physician Assistant | 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 | 2016-10-21 |
1124422639 | Total Family Medicine | Nurse Practitioner | 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 | 2014-10-13 |
1184042251 | Melisa D Zamora | Nurse Practitioner | 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 | 2014-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
Find all providers in zip 37601 |
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 |
1548387939 | Appalachian Behavior Support Services, LLC | Community/Behavioral Health | 1561 Colony Park Dr, Johnson City, TN 37604-7183 | 2007-03-23 |
1316552060 | Tranquil Jc, LLC | Community/Behavioral Health | 2700 S Roan St Ste 212, Johnson City, TN 37601-7557 | 2020-09-10 |
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 | 37601 |
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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.