APPALACHIAN COUNSELING OUTPATIENT (NPI# 1669638821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669638821 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN COUNSELING OUTPATIENT |
| Other Organization Name | TAPESTRY RESIDENTIAL EATING DISORDER PROGRAM |
| Practice Address |
11 N Country Club Rd Brevard NC 28712-8908 |
| Mailing Address |
119 Tunnel Rd Ste B Asheville NC 28805-1800 |
| Practice Telephone | 8288842475 |
| Practice Fax Number | 8288842187 |
| Mailing Telephone | 8283501000 |
| Mailing Fax Number | 8283501300 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | CHAD RYAN HUSTED (VP OF OPERATIONS) |
| Authorized Official Telephone | 7706399657 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
MHL-045-121 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tapestry Residential Eating Disorder Program | Doing Business As Name - Organization |
| Street Address |
11 N COUNTRY CLUB RD |
| City | BREVARD |
| State | NC |
| Zip Code | 28712-8908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972147221 | Jessica Burleson | Counselor | 11 N Country Club Rd, Brevard, NC 28712-8908 | 2019-10-30 |
| 1720574205 | Samantha Grace Flynn | Social Worker | 11 N Country Club Rd, Brevard, NC 28712-8908 | 2018-07-08 |
| 1306346192 | Caitlin Brooks Craig | Counselor | 11 N Country Club Rd, Brevard, NC 28712-8908 | 2018-02-18 |
| 1962946400 | Lindsay Marie Ford | Dietitian, Registered | 11 N Country Club Rd, Brevard, NC 28712-8908 | 2016-12-16 |
| 1851752869 | Appalachian Outpatient Services | Community/Behavioral Health | 11 N Country Club Rd, Brevard, NC 28712-8908 | 2016-03-18 |
| 1427472554 | Tammy Q Maxey | Counselor | 11 N Country Club Rd, Brevard, NC 28712-8908 | 2014-02-10 |
| 1053608919 | Naomi Mcdonald | Counselor | 11 N Country Club Rd, Brevard, NC 28712-8908 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| 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] |
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| 1265058234 | Transcendia Health Systems | Clinic/Center | 3618 Wagon Wheel Rd, Rocky Mount, NC 27804-9512 | 2020-06-24 |
| 1235753724 | Lobo Workplace Solutions, Inc. | Clinic/Center | 104 E Club Blvd, Durham, NC 27704-4316 | 2020-06-01 |
| 1265062350 | Dogwood Psychology Center for Children and Families | Clinic/Center | 960 Corporate Dr Ste 111, Hillsborough, NC 27278-8560 | 2020-01-17 |
| 1760021166 | Uniquelyu Counseling | Clinic/Center | 4808 Cutstone Ct, Raleigh, NC 27610-6622 | 2020-01-02 |
| 1366080921 | Bridge Builders Counseling Pllc | Clinic/Center | 311 Judges Rd Ste 1e, Wilmington, NC 28405-3654 | 2019-12-13 |
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1447722384 | Claudia Shapiro, Lcsw | Clinic/Center | 139 W King St, Hillsborough, NC 27278-2543 | 2018-12-17 |
| 1033698683 | Keron Terrell Artis | Clinic/Center | 1405 Chesnee Dr Nw, Wilson, NC 27896-1523 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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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.