NICOLE DOUGLAS
NPI 1992092118
Counselor in Johnson City, TN

NPI Status: Active since July 08, 2011

Contact Information

109 W WATAUGA AVE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-2600
Fax: (423) 467-3644

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  • Individual
  • Female
  • Counselor

About NICOLE DOUGLAS

This page provides the complete NPI Profile along with additional information for Nicole Douglas, a provider established in Johnson City, Tennessee with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1992092118 assigned on July 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1992092118
Provider Name
NICOLE DOUGLAS
Gender
Female
Entity Type
Individual
Location Address
109 W WATAUGA AVE JOHNSON CITY, TN 37604
Location Phone
(423) 232-2600
Location Fax
(423) 467-3644
Mailing Address
1167 SPRATLIN PARK DR GRAY, TN 37615
Mailing Phone
(423) 467-3600
Mailing Fax
(423) 467-3644
Is Sole Proprietor?
Yes
Enumeration Date
07-08-2011
Last Update Date
07-08-2011
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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

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992092118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918209412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 0 + 9 + 4 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1992092118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1720182405MRS. TRISHA MCCALMONT WHITLOCK MA
Individual
Counselor109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2700
1710081492 LISA ANN FORBES MED
Individual
Counselor109 W WATAUGA AVE WATAUGA BEHAVIORAL HEALTH SERVICES
JOHNSON CITY, TN 37604
(423) 232-2700
1295818979MS. PAMELA KAY FORD BS
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2700
1104909886 KRISTI KAREN KELLY BSW
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE WATAUGA BEHAVIORAL HEALTH SERVICES
JOHNSON CITY, TN 37604
(423) 232-2700
1740363423MR. EDWARD REX CROSS III BS
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE WATAUGA C & Y
JOHNSON CITY, TN 37604
(423) 232-2700
1922181601MRS. LAURA ANN KELLICUT MA
Individual
Counselor (Professional)109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600
1437229663 VIRGINIA SUSAN PATTON BSW
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2658
1912076274 LISA MARIE LOVELACE BSW
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2791
1558430819MS. COREE ROSHEL SCHMIDT MAC LADAC CCCJS
Individual
Counselor109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600
1649345885 LISA DEANN LANE BS
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2638
1053486274MRS. GINA M BENTLEY RN
Individual
Nurse Practitioner (Psychiatric/Mental Health)109 W WATAUGA AVE WATAUGA BEHAVIORAL HEALTH SERVICES
JOHNSON CITY, TN 37604
(423) 232-2600
1003971169 KIM MARIE DICKSON BACHELORS
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE WATAUGA BEHAVIORAL HEALTH
JOHNSON CITY, TN 37604
(423) 232-2788
1275671562MRS. MARBETH LYNNE DOUGHERTY MS L MFT
Individual
Marriage & Family Therapist109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2621
1821136110MS. DORIS M TROXELL MSW LCSW
Individual
Social Worker109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600
1154469054MRS. MARY ERNEY LAMOY BA
Individual
Personal Emergency Response Attendant109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 928-9062
1558400804MS. JOANNA ELIZABETH CYRIER
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600
1275677437MR. NEIL ALLAN FISHER MDIV
Individual
Counselor109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600
1831234038MRS. REGINA ANN CLARK BS
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600
1376678102MRS. SALLY GEORGE ANDERSON MA
Individual
Counselor109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600
1700919313 RACHAEL L ARNETT BA
Individual
Case Manager/Care Coordinator109 W WATAUGA AVE
JOHNSON CITY, TN 37604
(423) 232-2600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992092118, enumerated in the NPI registry as an "individual" on July 08, 2011

The provider is located at 109 W Watauga Ave Johnson City, Tn 37604 and the phone number is (423) 232-2600

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on July 08, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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