Individual provider Active NPI

Teresa Costello

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1215737374
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
7 N Tuxedo Ave
Chattanooga, TN 37411-3728
Phone
(877) 358-2998
Fax
(423) 405-6346
NPI assigned
Mar 18, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 Primary

Addresses

Primary practice location

7 N Tuxedo Ave
Chattanooga, TN 37411-3728

Mailing address

1101 W 40TH St Unit 2225
Chattanooga, TN 37409-1379
Phone (877) 358-2998

Other practice location 1

1312 Spring Creek Rd
Chattanooga, TN 37412-3918
Phone (877) 358-2998

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

OrganizationSpecialtyStatusNew patients
Elu LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

1101 W 40th St
Unit 2225
Chattanooga, TN 37409
Phone (423) 486-0774

7 N Tuxedo Ave
Chattanooga, TN 37411
Phone (423) 531-4103

1312 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 486-0774

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.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1215737374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 40TH ST UNIT 2225",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091379",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N TUXEDO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113728",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 Spring Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374123918",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "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 Dec 29, 2025; 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.