Active NPI
Laura Jensen Bertrand, NCC
- Mental Health Counselor
- Chattanooga, TN
National Provider Identifier
1194243139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1635 Chestnut St
Chattanooga, TN 37408-1024 - Phone
- (423) 401-8214
- NPI assigned
- Aug 30, 2017
- Last updated
- Aug 30, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1635 Chestnut St
Chattanooga, TN 37408-1024
Mailing address
301 S Perimeter Park Dr Ste 210
Nashville, TN 37211-4128
Phone (615) 438-1885
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 |
|---|---|---|---|
| Omni Community Health, Inc. | Mental Health | Past | Accepting new patients |
| River City Counseling PC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Knoxville, TN
- NPI 1881024172
Mental Health
-
- Mental Health Counselor
- Hixson, TN
- NPI 1528329505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1194243139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S PERIMETER PARK DR STE 210",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114128",
"telephone_number": "615-438-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 CHESTNUT ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374081024",
"telephone_number": "423-401-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAND",
"first_name": "LAURA",
"middle_name": "JENSEN",
"credential": "NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.