MR. JODY DEAN FARRA (NPI# 1285641340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285641340 |
| Entity Type | Individual |
| Full Name | MR. JODY DEAN FARRA |
| Credential | MA LPE LPC |
| Practice Address |
6 Sixth St Central Building Suite 205 Bristol TN 37620 |
| Mailing Address |
1242 Highridge Drive Kingsport TN 37664 |
| Practice Telephone | 4239682225 |
| Practice Fax Number | 4239682225 |
| Mailing Telephone | 4233239289 |
| Mailing Fax Number | 4239682225 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC000282 | TN | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PE000531 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FED GOVT TRADE PARTNER ID | TPIN 13037341 | 01 |
| Street Address |
6 SIXTH ST CENTRAL BUILDING SUITE 205 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224859 | Jennifer Shuler Kever | Counselor | 10611 Sr 20, Bristol, FL 32321-3232 | 2020-10-30 |
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1639710221 | Steven William Roll | Counselor | 2 Canals End Rd Ste 201b, Bristol, PA 19007-4821 | 2019-10-04 |
| 1265081913 | Tamara Diane Monroe | Counselor | 1250 Veterans Hwy # G18a, Bristol, PA 19007-2595 | 2019-09-05 |
| 1043770910 | Mckeon Counseling Services LLC | Counselor | 102 Ridge Rd, Bristol, CT 06010-7368 | 2019-03-25 |
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1063903094 | Lynn Marie Weisman | Counselor | 417 Hope St, Bristol, RI 02809-1805 | 2018-05-25 |
| 1992213466 | Briana Donley | Counselor | 31 Charles St, Bristol, RI 02809-3101 | 2018-01-17 |
| 1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
| 1972056711 | Julia Gaw | Counselor | 970 Hope St Unit 3, Bristol, RI 02809-5210 | 2016-07-28 |
| Find all providers in BRISTOL | ||||
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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.