KRISTEN MIR (NPI# 1689714651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689714651 |
| Entity Type | Individual |
| Full Name | KRISTEN MIR |
| Other Name | KRISTEN ZAHRADNIK |
| Credential | LCSW |
| Practice Address |
2514 1/2 Wesley St Ste 2 Johnson City TN 37601-1754 |
| Practice Telephone | 4235290385 |
| Practice Fax Number | 4234142699 |
| Mailing Telephone | 4235290385 |
| Mailing Fax Number | 4234142699 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | CSW0000006858 | TN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000005255 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9111 Cross Park Dr, Suite 475, Knoxville, TN 379234506 | 8655602550 |
| Street Address |
2514 1/2 WESLEY ST STE 2 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728405 | Papillon Behavioral Health, LLC | Psychologist | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 | 2018-01-18 |
| 1013387687 | Nicholas Porta | Counselor | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601-1754 | 2015-09-25 |
| 1811325194 | Jennifer E Miller | Marriage & Family Therapist | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601-1754 | 2013-10-23 |
| 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 | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256628 | Beth Evelyn Barber | Social Worker | 911 Millercrest Dr, Johnson City, TN 37604-4331 | 2018-08-27 |
| 1902258239 | Amber Street | Social Worker | 403 Princeton Rd Ste 2, Johnson City, TN 37601-2040 | 2016-07-11 |
| 1760833164 | Derek Shea Bowers | Social Worker | 207 N Boone St Ste 13, Johnson City, TN 37604-5659 | 2016-06-27 |
| 1952737785 | Carolyn Elaine Conerly | Social Worker | 1185 W Mountain View Rd, 2209, Johnson City, TN 37604-2523 | 2013-09-25 |
| 1265796072 | Peace of Mind Therapy Services | Social Worker | 207 Boone St, Suite 27, Johnson City, TN 37604-5603 | 2012-06-26 |
| 1326347311 | Jonathan Lynn Hartsell | Social Worker | 207 Boone Street, Suite 27, Johnson City, TN 37604 | 2011-03-16 |
| 1174838932 | Janie Allene Short | Social Worker | 306 W Holston Ave, Johnson City, TN 37604-5526 | 2010-08-17 |
| 1124254990 | Marylyn Beeson Bowman | Social Worker | 169 E Grand Ave, Apt 101, Johnson City, TN 37601-5609 | 2009-06-06 |
| 1336312685 | Lydia Pipes Roane | Social Worker | 703 Hiwassee Hill Dr, Johnson City, TN 37601-7603 | 2008-04-08 |
| 1295954543 | Sharon L Moss | Social Worker | 175 Wyok Rd, Johnson City, NY 13790-4223 | 2007-04-25 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on KRISTEN MIR.
| 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.