HOLSTON CHILDREN & YOUTH SERVICES
NPI 1578627006
Clinic/Center - Adolescent and Children Mental Health in Kingsport, TN

NPI Status: Active since December 20, 2006

Contact Information

2001 STONEBROOK PL
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-1000
Fax: (423) 224-1023

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About HOLSTON CHILDREN & YOUTH SERVICES

This page provides the complete NPI Profile along with additional information for Holston Children & Youth Services, a provider established in Kingsport, Tennessee operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1578627006 assigned on December 2006. The practitioner's primary taxonomy code is 261QM0855X with license number L 214-076-1417 (TN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Holston Children & Youth Services. The authorized official of this NPI record is Dr. Teresa M Kidd Phd (President And Ceo)

NPI
1578627006
Provider Legal Name
FRONTIER HEALTH
Other Organization Name
HOLSTON CHILDREN & YOUTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2001 STONEBROOK PL KINGSPORT, TN 37660
Location Phone
(423) 224-1000
Location Fax
(423) 224-1023
Mailing Address
PO BOX 9054 GRAY, TN 37615
Mailing Phone
(423) 467-3600
Mailing Fax
(423) 224-1023
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2006
Last Update Date
12-12-2018
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
L 214-076-1417
License State
TN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

L 214-076-1417 (TN)
2251S00000XAgencies

Community/Behavioral Health

L 214-076-1417 (TN)
3261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

316 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TERESA M KIDD PHD

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(423) 467-3600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
49-4923-4MEDICAID (05)VA 
SAME AS MEDICARE #SMEDICAID (05)TN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1578627006, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 2 + 2 + 1 + 4 + 0 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1578627006.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
2001 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Psychologist
2001 STONEBROOK PL, ASSESSMENT AND FORENSIC SERVICES
KINGSPORT, TN 37660
Social Worker
2001 STONEBROOK PL
KINGSPORT, TN 37660
Social Worker
2001 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Technician, Other
2001 STONEBROOK PL
KINGSPORT, TN 37660
Social Worker
2001 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578627006, enumerated as an "organization" on December 20, 2006.

The provider is located at 2001 STONEBROOK PL KINGSPORT, TN 37660 and the phone number is (423) 224-1000.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.