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WATAUGA BEHAVIORAL HEALTH SERVICES
NPI 1386700383
Clinic/Center - Mental Health (Including Community Mental Health Center) in Johnson City, TN

Active since December 28, 2006CLIA 44D2261564 · Waiver
109 W WATAUGA AVE, JOHNSON CITY, TN 37604(423) 232-2600(423) 232-2646 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Watauga Behavioral Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATAUGA BEHAVIORAL HEALTH SERVICES (NPI 1386700383) is a healthcare organization registered as a mental health (including community mental health center) in Johnson City, Tennessee and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Teresa M Kidd, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1386700383
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFRONTIER HEALTH
Location Address109 W WATAUGA AVEJohnson City, TN 37604-5621
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 232-2600
Fax(423) 232-2646
Organization SubpartNo
Authorized OfficialTeresa M KiddPresident And Ceo · (423) 467-3600
Enumeration DateDecember 28, 2006
Last NPPES UpdateDecember 12, 2018
✔ NPI 1386700383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in TN · L 214-076-1430
Also ListedCase ManagementTaxonomy 251B00000X · License L 214-076-1430 (TN)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License L 214-076-1430 (TN)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 325 (TN)
109 W WATAUGA AVE, Johnson City, TN 37604
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Other Names 1

Doing Business AsWatauga Behavioral Health Services

Other Identifiers 2

Medicaid49-4911-1VA
MedicaidSAME AS MEDICARE #STN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2261564

Watauga Behavioral Health Services · Johnson City, TN
Active · expires Jun 1, 2028
CLIA Number44D2261564
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorAllen Musil
Laboratory Phone(423) 467-3715
Laboratory LocationWatauga Behavioral Health Services109 West Watauga, Johnson City, TN 37604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE KATKO BS
Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
MATTHEW M MIDKIFF LPC, MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
KIM MARIE DICKSON BACHELORS
Case Manager/Care Coordinator
109 W WATAUGA AVE, WATAUGA BEHAVIORAL HEALTH
JOHNSON CITY, TN 37604
Washington County (423) 232-2788
MR. JONATHAN JUNIOR PERKINS MED
Counselor
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
HANNAH T SHANNON LPC/ MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
HALEY N CIGARROA LPC/ MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
ISAAC LEE MARTIN JR. MRC CRC
Personal Emergency Response Attendant
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
ADAM WAYNE DAVIS
Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frontier Health's NPI number?

The NPI number for Frontier Health is 1386700383. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Watauga Behavioral Health Services.

Where is Frontier Health located?

Frontier Health is located at 109 W Watauga Ave, Johnson City, TN 37604. The listed phone number is (423) 232-2600.

What is Frontier Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Frontier Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2261564) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frontier Health was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.