Active NPI
Caitlin Moore Merritt, LPC/MHSP, M.ED., NCC
- Professional Counselor
- Chattanooga, TN
National Provider Identifier
1396408902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5757
- Practice address
- 801 N Holtzclaw Ave
Ste 101
Chattanooga, TN 37404 - Phone
- (866) 816-0433
- NPI assigned
- Oct 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5757 | TN | Primary |
Addresses
Primary practice location
801 N Holtzclaw Ave
Ste 101
Chattanooga, TN 37404
Mailing address
275 Cumberland BND
Nashville, TN 37228-1805
Other names 1
- Caitlin Amanda Moore
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)
- Enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Cooperative, Inc | Current | Accepting new patients |
Locations
801 N Holtzclaw Ave
Ste 101
Chattanooga, TN 37404
Phone (423) 697-5953
275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1083632897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1396408902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CUMBERLAND BND",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N HOLTZCLAW AVE",
"address_2": "STE 101",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37404",
"telephone_number": "866-816-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "CAITLIN",
"middle_name": "MOORE",
"credential": "LPC/MHSP, M.ED., NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "5757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "MOORE",
"middle_name": "AMANDA",
"credential": "M.ED.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.