Individual provider Active NPI

Sydney Elaine Minnis, LPC-MHSP

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1417842576
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7941 Issued in TN
Practice address
6110 Shallowford Rd Ste B
Chattanooga, TN 37421-1894
Phone
(888) 291-4357
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 7941 TN Primary

Addresses

Primary practice location

6110 Shallowford Rd Ste B
Chattanooga, TN 37421-1894

Mailing address

6110 Shallowford Rd Ste B
Chattanooga, TN 37421-1894
Phone (888) 291-4357

Other practice location 1

400 E Main St
Chattanooga, TN 37408-1311
Phone (423) 443-3583

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
I20250827003677 TN Practitioner - Mental Health Counselor 6608377130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1921 Ransom PL
Nashville, TN 37217-3841

431 Carriage Parc Dr
Chattanooga, TN 37421-7147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7941TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Jun 14, 2025 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Jun 14, 2025 Accepting new patients

Locations

6110 Shallowford Rd
Ste B
Chattanooga, TN 37421
Phone (423) 499-1031

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

Organizations & group practices 2

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": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1417842576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 SHALLOWFORD RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211894",
            "telephone_number": "888-291-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 SHALLOWFORD RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211894",
            "telephone_number": "888-291-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Main St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374081311",
            "country_code": "US",
            "telephone_number": "423-443-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNIS",
        "first_name": "SYDNEY",
        "middle_name": "ELAINE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.