HIGHLAND RIVERS (NPI# 1992162564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992162564 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS |
| Practice Address |
6 Mathis Dr Nw Rome GA 30165-1242 |
| Mailing Address |
6 Mathis Drive Rome GA 30165 |
| Practice Telephone | 7064284150 |
| Mailing Telephone | 7064284150 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MISS LA TONYA RASHELL DANIEL (RECOVERY SERVICES SUPERVISOR) |
| Authorized Official Telephone | 7064284150 |
| Authorized Official Credential | M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HIGHLAND RIVERS CENTER | 1503 N Tibbs Rd, Dalton, GA 30720-2915 |
| Washington State Corporations | HIGHLAND RIVERS VENTURES, INC. | 4642 17th Ln Ne, Olympia, WA 98516 |
| Street Address |
6 MATHIS DR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558427005 | Peggy Brown | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2006-12-29 |
| 1902252356 | Misty Dawn Brackett | Community Health Worker | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-05-04 |
| 1730535188 | Robin Stocks | Community Health Worker | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-05-04 |
| 1841654985 | Lacretia Washington | Licensed Practical Nurse | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-04-05 |
| 1104280247 | Relecia Garrett | Licensed Practical Nurse | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-04-05 |
| 1013373687 | Emory Chatman | Social Worker | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-12 |
| 1881050441 | Reginald Darnell Mcdaniel | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-12 |
| 1548626245 | Jessica Lashay Mcburnett | Case Manager/Care Coordinator | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-11 |
| 1154787927 | Barbara Glanton | Case Manager/Care Coordinator | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-11 |
| 1891151585 | Robert Edward Hamilton IIi | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1578994026 | J Keith Fricks Counseling LLC | Community/Behavioral Health | 10 E Creekview Dr Sw, Rome, GA 30165-3805 | 2013-12-10 |
| 1770829103 | Highland Rivers Community Service Board | Community/Behavioral Health | 7 Crosscreek Dr Nw, Rome, GA 30165-1202 | 2012-12-12 |
| 1598018491 | Highland Rivers Community Service Board | Community/Behavioral Health | 4 Glenda Dr Sw, Rome, GA 30165-3622 | 2012-10-17 |
| 1104179001 | Highland Rivers Community Service Board | Community/Behavioral Health | 4 East 10th Street, Rome, GA 30161-6164 | 2012-10-17 |
| 1295088193 | Highland Rivers Community Service Board | Community/Behavioral Health | 112 Rising Fawn Trl Ne, Rome, GA 30165-8675 | 2012-10-17 |
| 1982957965 | Highland Rivers Community Service Board | Community/Behavioral Health | 210 Coney Circle, Rome, GA 30161-0000 | 2012-10-16 |
| 1871845867 | Highland Rivers Community Service Board | Community/Behavioral Health | 382 Collier Rd Ne, Rome, GA 30165-8003 | 2012-10-15 |
| 1235481227 | Highland Rivers Community Service Board | Community/Behavioral Health | 104 Harrison Rd Nw, Rome, GA 30165-1016 | 2012-10-15 |
| 1316299670 | Highland Rivers Community Service Board | Community/Behavioral Health | 90 Gore Dr, Rome, GA 30161-1998 | 2012-10-11 |
| Find all providers in ROME | ||||
Please comment or provide details below to improve the information on HIGHLAND RIVERS.
| 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.