Individual provider Active NPI

Leslie Susan Davis, LPC-MHSP

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1316497860
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000003673 Issued in TN
Practice address
320 N Holtzclaw Ave Ste 104
Chattanooga, TN 37404-2305
Phone
(423) 304-6004
NPI assigned
Oct 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 LPC0000003673 TN Primary

Addresses

Primary practice location

320 N Holtzclaw Ave Ste 104
Chattanooga, TN 37404-2305

Mailing address

320 N Holtzclaw Ave Ste 104
Chattanooga, TN 37404-2305
Phone (423) 304-6004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260325002137 TN Practitioner - Mental Health Counselor 8820572076 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 N Holtzclaw Ave
Suite 104
Chattanooga, TN 37404-2305
Phone (423) 304-6004

348 Gladstone Dr
Ringgold, GA 30736-2575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000003673TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1316497860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N HOLTZCLAW AVE STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042305",
            "telephone_number": "423-304-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N HOLTZCLAW AVE STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042305",
            "telephone_number": "423-304-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LESLIE",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-08",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000003673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.