Active NPI
Katybeth C Eller, LPCMHSP
- Professional Counselor
- Chattanooga, TN
National Provider Identifier
1245788009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008099
- Practice address
- 801 N Holtzclaw Ave
Suite 101
Chattanooga, TN 37404-1236 - Phone
- (423) 209-7091
- Fax
- (423) 209-7088
- NPI assigned
- Sep 21, 2016
- Last updated
- Apr 7, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3715 | TN | |
| Professional Counselor | 101YP2500X | 0701008099 | VA | Primary |
| Professional Counselor | 101YP2500X | 3715 | TN |
Addresses
Primary practice location
801 N Holtzclaw Ave
Suite 101
Chattanooga, TN 37404-1236
Mailing address
801 N Holtzclaw Ave
Suite 101
Chattanooga, TN 37404-1236
Phone (423) 209-7091
Other practice location 1
2300 Commonwealth Dr Ste 100
Charlottesville, VA 22901-1894
Phone (855) 284-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3715 | TN | MD | Optometrist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1245788009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N HOLTZCLAW AVE",
"address_2": "SUITE 101",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041236",
"telephone_number": "423-209-7091",
"fax_number": "423-209-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N HOLTZCLAW AVE",
"address_2": "SUITE 101",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041236",
"telephone_number": "423-209-7091",
"fax_number": "423-209-7088"
}
],
"practiceLocations": [
{
"address_1": "2300 Commonwealth Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229011894",
"country_code": "US",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLER",
"first_name": "KATYBETH",
"middle_name": "C",
"credential": "LPCMHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "3715",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008099",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3715",
"primary": false
}
],
"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 Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.