FRONTIER HEALTH (NPI# 1235298720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235298720 |
| Entity Type | Organization |
| Organization Name | FRONTIER HEALTH |
| Other Organization Name | ADVENTURE PROGRAM |
| Practice Address |
1003 N Broadway St Johnson City TN 37601-2722 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4232324326 |
| Practice Fax Number | 4232324255 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. E DOUGLAS VARNEY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4234673600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
315 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Adventure Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005276 | Frontier Health | Community/Behavioral Health | 210 Quarry Rd, Johnson City, TN 37601-7580 | 2018-09-05 |
| 1871949123 | Frontier Health | Community/Behavioral Health | 433 New Beason Well Rd, Kingsport, TN 37660-2729 | 2016-05-05 |
| 1871947754 | Frontier Health | Community/Behavioral Health | 321 Possum Creek Rd, Bluff City, TN 37618-3612 | 2016-04-18 |
| 1124463849 | Frontier Health | Psychiatric Residential Treatment Facility | 210 Quary Rd, Johnson City, TN 37601-7580 | 2013-05-08 |
| 1326288093 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2940 Broad St, Bristol, TN 37620-3414 | 2009-02-20 |
| 1871733543 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Arnold Rd, Greeneville, TN 37743-3105 | 2009-02-20 |
| 1144460817 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2301 E Center St, Kingsport, TN 37664-2701 | 2009-02-20 |
| 1417197153 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1113 King Springs Rd, Johnson City, TN 37601-5009 | 2009-02-20 |
| 1265632392 | Frontier Health | Community Based Residential Treatment Facility, Mental Illness | 516 Swadley Rd, Johnson City, TN 37601-9000 | 2007-07-18 |
| 1073735643 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 719 Kentucky Ave, Bristol, TN 37620-3806 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FRONTIER HEALTH | 1941 Park Ave Sw, P.o. Box 1130, Norton, Virginia 24273 |
| Colorado Business Entities | Frontier Health & Wellness, Inc. | 255 Little Park Road, Grand Junction, CO 81507 |
| New York State Corporations | FRONTIER HEALTH AGENTS LLC | 5828 Forest Creek Drive, E Amherst, New York 14051 |
| Washington State Corporations | FRONTIER HEALTH CARE ASSOCIATES INC | 10362 Capistrano Place, Poulsbo, WA 98370 |
| Colorado Business Entities | FRONTIER HEALTH NETWORK | |
| New York State Corporations | FRONTIER HEALTH, CARLINE LAMOUR-OCCEAN, NP IN ADULT HEALTH P.C. | 1975 University Avenue, Bronx, New York 10453 |
| New York State Corporations | FRONTIER HEALTHCARE BILLING SERVICES LLC | 28 Liberty St., New York, New York 10005 |
| North Carolina Corporations | Frontier Healthcare Billing Services LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Oklahoma Business Registrations | FRONTIER HEALTHCARE GROUP, INC. | 324 Goldfinch Dr, Ft Worth, TX 76108 |
| Street Address |
1003 N BROADWAY ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2722 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326147331 | Upper East Tn Regional Juvenile Detention Center | Clinic/Center | 307 Wesley St, Johnson City, TN 37601-1721 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661941 | A Hope and A Future, Inc. | Clinic/Center | 2932 Altruria Rd, Bartlett, TN 38134-3862 | 2020-08-25 |
| 1972120426 | Joybridge LLC | Clinic/Center | 1018 Gateway Ln, Nashville, TN 37220-1006 | 2020-07-01 |
| 1235773748 | Counseling and Forensic Services | Clinic/Center | 481 Leeper Pkwy Ste 6&7, Lenoir City, TN 37772-6174 | 2019-10-29 |
| 1730425240 | Cresco Care LLC | Clinic/Center | 9465 Homewood Cir, Ooltewah, TN 37363-5105 | 2013-01-02 |
| 1174804421 | Behavioral Insights | Clinic/Center | 6216 Lonas Dr, Knoxville, TN 37909-3235 | 2011-08-31 |
| 1265509137 | New Beginnings Counseling Center Pllc | Clinic/Center | One Northgate Pk, Ste 201, Chattanooga, TN 37415 | 2006-11-29 |
| 1487666806 | Psychiatric Services, Inc. | Clinic/Center | 108 Glenleigh Ct, Suite 2, Knoxville, TN 37934-3038 | 2006-08-13 |
| 1497362883 | Next Level Counseling, Pllc | Clinic/Center | 1716 Memorial Dr, Clarksville, TN 37043-4542 | 2020-09-29 |
| 1730740309 | Minds Matter | Clinic/Center | 1989 Madison St, Clarksville, TN 37043-5067 | 2019-06-25 |
| 1467933267 | Rescue 1 Global | Clinic/Center | 6688 Nolensville Road, Suite 108/167, Brentwood, TN 37027 | 2018-08-28 |
| Find all providers with the same taxonomy | ||||
| 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.