DBA MOUNTAIN STATES OUTPATIENT BEHAVIORAL HEALTH
NPI 1588853295
Psychiatry & Neurology - Psychiatry in Johnson City, TN
About Dba Mountain States Outpatient Behavioral Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DBA MOUNTAIN STATES OUTPATIENT BEHAVIORAL HEALTH (NPI 1588853295) is a healthcare organization registered as a psychiatry in Johnson City, Tennessee and active in the NPI registry since October 2007. The organization lists Jeffrey N Dice, Assistant Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dba Mountain States Outpatient Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Dba Mountain States Outpatient Behavioral Health, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
Wright Patterson Afb, OH 45433
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mountain States Health Alliance's NPI number?
The NPI number for Mountain States Health Alliance is 1588853295. It was assigned to this organization in the NPPES registry on October 18, 2007. The provider is doing business as Dba Mountain States Outpatient Behavioral Health.
Where is Mountain States Health Alliance located?
Mountain States Health Alliance is located at 508 Princeton Commons Suite 403, Johnson City, TN 37601. The listed phone number is (423) 722-3000.
What is Mountain States Health Alliance's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mountain States Health Alliance enrolled in Medicare?
Yes. Mountain States Health Alliance is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain States Health Alliance?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Mountain States Health Alliance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Hematology/Oncology (3) and Internal Medicine (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mountain States Health Alliance was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dba Mountain States Outpatient Behavioral Health · NPI 1588853295
Psychiatry organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since October 18, 2007.
## Identity
- **NPI:** 1588853295 (Entity type: Organization)
- **Enumerated:** October 18, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Mountain States Health Alliance
- **Organization subpart:** No
- **Authorized official:** Jeffrey Dice, ASSISTANT VICE PRESIDENT
## Practice location
- **Address:** 508 PRINCETON COMMONS, SUITE 403, Johnson City, TN 37601-2060
- **Phone:** (423) 722-3000 · **Fax:** (423) 722-3009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Hematology/Oncology (3), Internal Medicine (3); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1588853295) · Data from the CMS NPPES public registry.