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Frontier Health

Mental Health Clinic/Center (Including Community Mental Health Center) in Johnson City, TN · enumerated 2006 · authorized official Teresa Kidd, President and Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386700383

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Registry record

Entity type Organization (Type 2)
Legal business name Frontier Health
Other name <Unavail>
Practice address 109 W Watauga Ave, Johnson City, TN, 37604
Fax (423) 232-2646
Enumeration date Dec 28, 2006
Last updated in NPPES Dec 12, 2018

Taxonomy & classification

251B00000X Case Management Agency Agencies · License L 214-076-1430 (TN) Secondary
251S00000X Community/Behavioral Health Agency Agencies · License L 214-076-1430 (TN) Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 325 (TN) Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License L 214-076-1430 (TN) Primary

Authorized official

Name Teresa Kidd
Title President and Ceo

Other identifiers

Identifier Type State Issuer
49-4911-1 Medicaid VA -
SAME AS MEDICARE #S Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-12-12. Verify at npiregistry.cms.hhs.gov.
Where is Frontier Health located?
The practice location on file with NPPES is in Johnson City, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-12.