OrganizationActive
Frontier Health
NPI 1386700383 · Mental Health Clinic/Center (Including Community Mental Health Center) · Johnson City, TN
Provider details
- NPI number
- 1386700383
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teresa Kidd, President and Ceo(423) 467-3600
- License
- L 214-076-1430 (TN)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense L 214-076-1430 (TN)
Ambulatory Health Care Facilities
Agencies
Agencies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 W Watauga Ave
Johnson City, TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 232-2646
Street-level locationGet directions
Mailing address
Po Box 9054
Gray, TN 37615-9054
Other names (DBA / former)
- Doing business as
- Watauga Behavioral Health Services
- Doing business as
- Watauga Behavioral Health Services
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2018-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.