Patrick Oellerich, MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3069 Broad St
Chattanooga, TN 37408-3047

Phone

(423) 378-8783

NPI assigned

Jan 4, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 18, 2024 through Oct 18, 2026

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1043971880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 ABBY GRACE LOOP",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374151745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 BROAD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083047",
            "telephone_number": "423-378-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELLERICH",
        "first_name": "PATRICK",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Patrick.o@christiancounselorcooperative.com",
            "affiliation": "N",
            "address_1": "3069 Broad St",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374083047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adriana Oceguera
• Jacqueline Mae Odell, LCSW
• Alan Clifton Odom, M.D.
• Josephine Pauline Odom, CERTIFIED HAIR LOSS
• Ruby Amelia Odum, PHARMD
• William F Oellerich, MD
• Kathryn Tully Oelsner, MD
• Kaci Allison Oetjen
• Paula Offutt, ORT/L
• Rae'Ven Nicole Offutt

• Mental Health Counselor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.