Individual provider Active NPI

Julia Derrille Flanagan, LPC MHSP

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1013084110
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1977 Issued in TN
Practice address
1447 Vance Rd
Suite 106
Chattanooga, TN 37421-3665
Phone
(423) 499-4499
Fax
(423) 499-4499
NPI assigned
Nov 30, 2006
Last updated
Mar 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1977 TN Primary

Addresses

Primary practice location

1447 Vance Rd
Suite 106
Chattanooga, TN 37421-3665

Mailing address

PO Box 8545
Chattanooga, TN 37414-0545
Phone (423) 499-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1977TNMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1013084110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8545",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140545",
            "telephone_number": "423-499-4499",
            "fax_number": "423-499-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 VANCE RD",
            "address_2": "SUITE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213665",
            "telephone_number": "423-499-4499",
            "fax_number": "423-499-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "JULIA",
        "middle_name": "DERRILLE",
        "name_prefix": "Miss",
        "credential": "LPC MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.