Individual provider Active NPI

Nancy D Holland, LPE

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1508988049
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CPC1377 Issued in TN
Practice address
5805 Lee Hwy
Suite 205
Chattanooga, TN 37421-3546
Phone
(423) 894-6588
Fax
(423) 894-2957
NPI assigned
Apr 4, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CPC1377 TN Primary
School Psychologist 103TS0200X PE01456 TN

Addresses

Primary practice location

5805 Lee Hwy
Suite 205
Chattanooga, TN 37421-3546

Mailing address

4211 Green Shanty Rd
Ooltewah, TN 37363-8443
Phone (423) 894-6598

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
I20240516000467 TN Practitioner - Mental Health Counselor 4082055447 Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CPC1377TNMDProfessional Counselor
PE01456TNMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508988049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 GREEN SHANTY RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638443",
            "telephone_number": "423-894-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 LEE HWY",
            "address_2": "SUITE 205",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213546",
            "telephone_number": "423-894-6588",
            "fax_number": "423-894-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "NANCY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "CPC1377",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TN",
            "license": "PE01456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.