PSYCHOLOGICAL CONSULTING SERVICES (NPI# 1568644854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568644854 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL CONSULTING SERVICES |
| Practice Address |
112 E Myrtle Ave Suite 304 Johnson City TN 37601 |
| Practice Telephone | 4239288001 |
| Mailing Telephone | 4239288001 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | MR. CHARLES ALBERT BELLEFANT JR. (VICE PRESIDENT) |
| Authorized Official Telephone | 4239288001 |
| Authorized Official Credential | MA, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 651 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558722926 | Psychological Consulting Services | Psychologist | 182 Van Buren St, Newark, NJ 07105-2638 | 2016-03-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Psychological Consulting Services LLC | 19452 Mill Dam Place, Leesburg, Virginia 20176 |
| Washington State Corporations | PSYCHOLOGICAL CONSULTING SERVICES LLC | 252 Broadway Apt 328, Tacoma, WA 98402-4002 |
| Colorado Business Entities | Psychological Consulting Services, PLLC | 27735 E Moraine Dr, Aurora, CO 80016-7325 |
| Street Address |
112 E MYRTLE AVE SUITE 304 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508873944 | Sandra Jean Gray | Social Worker | 112 E Myrtle Ave, Ste 408, Johnson City, TN 37601-8600 | 2006-08-01 |
| 1467711416 | Jean L Daniels | Counselor | 112 E Myrtle Ave, Suite 405, Johnson City, TN 37601-8600 | 2012-05-11 |
| 1194082099 | East Tennessee Hearing Center | Clinic/Center | 112 E Myrtle Ave, Suite 504, Johnson City, TN 37601-8600 | 2012-04-16 |
| 1548531890 | Light Connection Inc | Physical Therapist | 112 E Myrtle Ave, Ste 312, Johnson City, TN 37601-8600 | 2012-01-18 |
| 1154515021 | Amanda Jane Paisley | Social Worker | 112 E Myrtle Ave, Suite 408, Johnson City, TN 37601-8600 | 2007-09-04 |
| 1194841361 | Richard Alexander Boleyn | Chiropractor | 112 E Myrtle Ave, Ste 500, Johnson City, TN 37601-8600 | 2007-03-21 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760734016 | John Phillip Lawson | Marriage & Family Therapist | 214 E Mountcastle Dr Ste 1, Johnson City, TN 37601-2509 | 2012-10-11 |
| 1487747465 | Nina Katherine Kibler Hancock | Marriage & Family Therapist | 1003 N Broadway, Johnson City, TN 37601 | 2006-10-02 |
| 1568459741 | Jean P Whitinger | Marriage & Family Therapist | 208 Sunset Dr, Suite 410, Johnson City, TN 37604-2517 | 2005-10-03 |
| 1144855685 | Roberta Jan Brownlee | Marriage & Family Therapist | 2214 E Fairview Ave, Johnson City, TN 37601-2860 | 2020-03-05 |
| 1063071926 | Christy R. Crick | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2019-06-13 |
| 1679131023 | Patricia G Coble | Marriage & Family Therapist | 2114 E Fairview Ave, Johnson City, TN 37601-2858 | 2019-05-31 |
| 1124417845 | Donna Lockaby-morrow | Marriage & Family Therapist | 1319 Sunset Dr Ste 102, Johnson City, TN 37604-7907 | 2015-01-19 |
| 1811325194 | Jennifer E Miller | Marriage & Family Therapist | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601-1754 | 2013-10-23 |
| 1104198191 | Breana Chappell Nease | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2012-02-06 |
| 1598059081 | Jennifer Hounshell | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2011-06-02 |
| 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.