MR. DANNY KELLUM (NPI# 1346415254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346415254 |
| Entity Type | Individual |
| Full Name | MR. DANNY KELLUM |
| Credential | LPC |
| Practice Address |
2722 E Oakland Ave Johnson City TN 37601-1844 |
| Mailing Address |
Po Box 4721 Johnson City TN 37602-4721 |
| Practice Telephone | 4239679208 |
| Mailing Telephone | 4239679208 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
0701003303 | VA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC0000001652 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2722 E OAKLAND AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1844 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497508 | Emily Hand | Counselor | 1200 Southwest Ave, Johnson City, TN 37604-6520 | 2020-11-08 |
| 1447860192 | Kasey Smith | Counselor | 2349 Ranch Road 1323, Johnson City, TX 78636-4787 | 2020-08-07 |
| 1912547142 | David Earl Ramsey | Counselor | 170 Frank Humphreys Ln, Johnson City, TN 37601-3637 | 2020-01-15 |
| 1003329517 | Summit Counseling Services LLC | Counselor | 4132 Bristol Hwy Ste 5, Johnson City, TN 37601-3162 | 2017-11-07 |
| 1952642811 | Cathaleen Lynn Blake | Counselor | 2700 S Roan St Ste 203, Johnson City, TN 37601-7557 | 2013-03-01 |
| 1609101575 | Mary E Marley | Counselor | 2700 S Roan St Ste 400, Johnson City, TN 37601-7678 | 2009-10-12 |
| 1811141344 | Tonya L. Mckoy | Counselor | 1735 W State of Franklin Rd # 5-227, Johnson City, TN 37604-6573 | 2008-11-11 |
| 1487847091 | Artemis Enrichment & Learning Center, LLC | Counselor | 112 East Myrtle Avenue, Suite 408, Johnson City, TN 37601 | 2007-08-27 |
| 1174674725 | Rose M Shea | Counselor | 420 Ivy Pl, Johnson City, NY 13790-4933 | 2007-01-12 |
| 1922181817 | Lynda Barrett Hargroves | Counselor | 4132 Bristol Hwy, Parkside Center Suite 3, Johnson City, TN 37601-2932 | 2006-10-23 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on MR. DANNY KELLUM.
| 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.