Isha S. Chaney, LPC-MHSP
Individual provider Active NPI Professional Counselor · Sparta, TN
NPI 1225548340 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1225548340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0000004054 (TN)
- Practice address
- 164 Churchill Dr
Sparta, TN 38583-1525 - Phone
- (931) 246-9449
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Insightful Pediatric and Family Therapy, LLC
Practice addresses (Care Compare)
164 Churchill Dr
Sparta, TN 38583-1525
Phone (931) 246-9449
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206003679 | TN | Practitioner - Mental Health Counselor | 5496124984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000004054 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insightful Pediatric and Family Therapy, LLC | Current |
Accepting new patients |
Locations
150 N Willow Ave
Cookeville, TN 38501
Phone (931) 246-9449
164 Churchill Dr
Sparta, TN 38583
Phone (931) 246-9449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0000004054 | TN | Yes |
Addresses
Primary practice location
164 Churchill Dr
Sparta, TN 38583-1525
Mailing address
164 Churchill Dr
Sparta, TN 38583-1525
Other providers in Sparta, TN
- Campbell Clinic PC
- Brooklyn Victoria Cantrell
- Ginny Caudle
- Central Tennessee Foot and Ankle Center
- Donald E Chamberlain
- Lori Chaney
- James Clark Childress
- Christi, Counseling & Consultation
- Churchill Drive Emergency Physicians LLC
- Jimmie Katherine Clark
All providers in Sparta, TN · Professional Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.