MR. TIM A PERRY (NPI# 1891884102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891884102 |
| Entity Type | Individual |
| Full Name | MR. TIM A PERRY |
| Credential | LPC MHSP MA |
| Practice Address |
26 Midway St Bristol Regional Counseling Center Bristol TN 37620 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4239894500 |
| Practice Fax Number | 4239894568 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC1447 | TN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1447 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN SUMMIT | 4013483 | 01 | |
| HIGHLANDS WELLMONT | 620582605 | 01 | |
| BEECH STREET | 620582605 | 01 | |
| MAGELLAN NAVIGATOR | 4013483 | 01 | |
| CORPHEALTH | 620582605 | 01 | |
| VIRGINIA MEDICAID BRCC | 010149380 | 01 | |
| MAGELLAN PINNACLE | 4013483 | 01 | |
| THREE RIVERS PROVI GROUP | 620582605 | 01 | |
| INITIAL GROUP GROUP | 620582605 | 01 | |
| COMPSYCH | 269963 | 01 | |
| VALUEOPTIONS GROUP | 334969 | 01 | |
| DOL WORKERS COMP | 351654200 | 01 | |
| VIRGINIA MEDICAID JOHNSON | 010149371 | 01 | |
| ANTHEM PROF TRIGON | 217324 | 01 |
| Street Address |
26 MIDWAY ST BRISTOL REGIONAL COUNSELING CENTER |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125162 | Cathy M Gowan | Nurse Practitioner | 26 Midway St, Bristol, TN 37620-1706 | 2005-09-26 |
| 1588279129 | Teresa A Fleming | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2020-09-10 |
| 1467003210 | Maranda D. Conner | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2019-09-24 |
| 1346746120 | Carlyn Marie Conley | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2018-04-02 |
| 1851895510 | Rhonda Noelle Grimes | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2018-03-19 |
| 1780066241 | Melinda Cox | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2015-06-22 |
| 1831501097 | Tracy Boling | Counselor | 26 Midway St, Bristol, TN 37620 | 2014-05-22 |
| 1134557010 | Karen Davidson | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2013-10-31 |
| 1053744607 | Kimberly Knight | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-19 |
| 1366874901 | Jonathan David Hunt | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-06 |
| Find all providers in the same location | ||||
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306313 | G. Michael Pilcher, Inc. | Counselor | 27 6th St, Bristol, TN 37620-2212 | 2018-12-01 |
| 1912418120 | Linda Pharo | Counselor | 806 Veterans Hwy, Bristol, PA 19007-2507 | 2017-10-14 |
| 1033570486 | Warren Corson Iv | Counselor | 489 Wolcott St, 39, Bristol, CT 06010-6469 | 2016-03-14 |
| 1871993527 | Karen Engwall | Counselor | 94 Rockwell Ave, Bristol, CT 06010-5942 | 2014-08-31 |
| 1437406832 | Linder Carroll | Counselor | 1690 Nw Dennis Green Rd, Bristol, FL 32321-2980 | 2012-08-06 |
| 1265792030 | Janeffer Del Valle | Counselor | 194 Prospect St, Bristol, CT 06010-6354 | 2012-05-25 |
| 1932400405 | Lisa D Bausell | Counselor | 1241 Volunteer Pkwy Ste 436, Bristol, TN 37620-4635 | 2010-11-15 |
| 1740455518 | Valerie A Waruszewski | Counselor | 100 5th St, Suite 310, Bristol, TN 37620-5920 | 2008-04-23 |
| 1942349030 | Denise M Fisher | Counselor | 1350 Lee Hwy, Bristol, VA 24201-3542 | 2007-02-05 |
| 1962551556 | Mary Barbara Raykowitz | Counselor | 1270 Volunteer Pkwy, Apt. G21, Bristol, TN 37620-4651 | 2007-01-10 |
| 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.