Active NPI
Erin Kennedy White, LPC-MHSP
- Professional Counselor
- Chattanooga, TN
National Provider Identifier
1033703699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5295
- Practice address
- 3421 Dayton Blvd
Chattanooga, TN 37415-4626 - Phone
- (423) 682-8402
- NPI assigned
- Feb 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5295 | TN | Primary |
Addresses
Primary practice location
3421 Dayton Blvd
Chattanooga, TN 37415-4626
Mailing address
1043 Dartmouth St
Chattanooga, TN 37405-2902
Phone (770) 617-7017
Other names 1
- Erin Joelle Kennedy
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckert Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Chattanooga, TN
- NPI 1740708742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1033703699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 DARTMOUTH ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374052902",
"telephone_number": "770-617-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 DAYTON BLVD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374154626",
"telephone_number": "423-682-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ERIN",
"middle_name": "KENNEDY",
"name_prefix": "Mrs.",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "5295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "KENNEDY",
"middle_name": "JOELLE",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.