Nathan David Chase, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012374 Issued in IL

Practice address

1312 Spring Creek Rd
Chattanooga, TN 37412-3918

Phone

(423) 486-0774

Fax

(423) 405-6346

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elu LLC

  dba Elu

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1396222394

  IL

  Medicare reassignment NPD
• Outreach Community Ministries Inc

  dba Outreach Community Counseling Center in Carol Stream

  • Adolescent and Children Mental Health Clinic/Center
  • Wheaton, IL
  • NPI 1255443669

  Professional

  NPD (past)
• Outreach Wheaton

  • Adolescent and Children Mental Health Clinic/Center
  • Wheaton, IL
  • NPI 1750948501

  Professional

  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1346720711",
    "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": "423-486-0774",
            "fax_number": "423-405-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123918",
            "telephone_number": "423-486-0774",
            "fax_number": "423-405-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W. Liberty Dr.",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601875124",
            "country_code": "US",
            "telephone_number": "630-682-1910",
            "fax_number": "630-682-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8305 Daisy Dallas Rd",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373431453",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S Seminole Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374121135",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3912 Dayton Blvd",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "TN",
            "postal_code": "374152716",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 S 2nd St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627047909",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "NATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5373",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q067716",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad M Charapata, MD
• Rylee Charles
• Mona S Charlesworth, APN, CNM, RN
• Christopher W Chase, MD
• Laura Chase, AGACNP-BC, AGPCNP-BC
• Shirleen D. Chase, NP
• Farlie Preston Lavon Chastain, LCSW
• Katherine Marie Chastain, PA
• Laura Chastain
• Timothy Robert Chastanet

• Professional Counselor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.

Verify at the official NPI Registry.