Individual provider Active NPI

Jason Brazier, LCPT

  • Pastoral Counselor
  • Chattanooga, TN
National Provider Identifier
1316712649
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
67 Issued in TN
Practice address
6816 Ty Hi Dr
Chattanooga, TN 37421-1456
Phone
(423) 499-9535
NPI assigned
Nov 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 67 TN Primary

Addresses

Primary practice location

6816 Ty Hi Dr
Chattanooga, TN 37421-1456

Mailing address

210 Thueler St
Chattanooga, TN 37415-2141
Phone (423) 322-7444

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

State licenses

LicenseStateTypeSpecialty
67TNMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Chattanooga Christian Services PastSince Nov 19, 2023 Accepting new patients

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1316712649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 THUELER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152141",
            "telephone_number": "423-322-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 TY HI DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211456",
            "telephone_number": "423-499-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIER",
        "first_name": "JASON",
        "credential": "LCPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TN",
            "license": "67",
            "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 Nov 16, 2023; 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.