Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Frontier Health

Organization Mental Health Counselor · NPI 1053476333

Frontier Health is a Mental Health Counselor in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
5
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Practice location Address checks out

208 E Unaka Ave
Johnson City, TN 37601-4626
Phone: (423) 906-0940
Fax: (423) 467-3644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 430 (TN)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1053476333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristi Blalock — Director Of Contracting/Reg. Comp. · (423) 467-3741
Other names Magnolia Ridge
NPI enumeratedDecember 27, 2006
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address1167 Spratlin Park Dr, Gray, TN 37615-6205

Other providers in Johnson City