Individual provider Active NPI

Laura D Huddleston, LPC

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1154417285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4750818 Issued in TN
Practice address
6400 Lee Hwy
St 110
Chattanooga, TN 37421-2452
Phone
(423) 899-5081
Fax
(423) 490-0410
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4750818 TN Primary

Addresses

Primary practice location

6400 Lee Hwy
St 110
Chattanooga, TN 37421-2452

Mailing address

6400 Lee Hwy
St 110
Chattanooga, TN 37421-2452
Phone (423) 899-5081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209000841 GA Practitioner - Mental Health Counselor 5698118362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Wellsprings Counseling Services LLCGroup PAC ID 4587109046, 5 clinicians

Practice addresses (Care Compare)

63 Spring Station Rd
Royston, GA 30662-1990
Phone (706) 246-0733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4750818TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellsprings Counseling Services LLC CurrentSince Jun 18, 2024 Accepting new patients
Beverly J Oxley, PHD PC CurrentSince Jan 2, 2024 Accepting new patients
Harold G. Rhoades PH.D. P.C. PastSince Jun 18, 2024 Accepting new patients
Focus Psychiatric Services PC PastSince Apr 1, 2012 Accepting new patients

Locations

63 Spring Station Rd
Royston, GA 30662
Phone (706) 246-0733

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154417285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 LEE HWY",
            "address_2": "ST 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212452",
            "telephone_number": "423-899-5081",
            "fax_number": "423-490-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LEE HWY",
            "address_2": "ST 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212452",
            "telephone_number": "423-899-5081",
            "fax_number": "423-490-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "LAURA",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4750818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.