Johnson County Counseling Center

LBN: Frontier Health
Johnson County Counseling Center is an health care organization with primary practice located at 318 Donnelly St , Mountain City TN 37683-1510. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Frontier Health can be contacted via phone (423) 727-2100, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
318 Donnelly St Mountain City TN 37683-1510
Phone: (423) 727-2100
Fax: (423) 727-2110
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Teresa M PHD
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X L 214-076-1420 Tennessee
Agencies / Community/Behavioral Health 251S00000X L 214-076-1420 Tennessee
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L 214-076-1420 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 366 Tennessee

Profile Details

NPI number 1396809851
LBN Legal business name Frontier Health
DBA Doing business as Johnson County Counseling Center
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 12th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396809851 NPPES
Tennessee MEDICAID SAME AS MEDICARE #S

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