Individual provider Active NPI

Jamelia Jade Knox, MFT

  • School Counselor
  • Chattanooga, TN
National Provider Identifier
1578041893
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Practice address
6110 Shallowford Rd Ste B
Chattanooga, TN 37421-1894
Phone
(423) 499-1031
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
School Counselor 101YS0200X 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 (423) 499-1031

Other practice location 1

1510 Old Ringgold Rd
Chattanooga, TN 37404-5444
Phone (423) 266-6751

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
I20251106002478 TN Practitioner - Marriage and Family Therapist 5496245615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radial Health Florida PAGroup PAC ID 6901300367, 16 clinicians
Mental Health Therapy Center - Chattanooga LLCGroup PAC ID 5597290015, 5 clinicians

Practice addresses (Care Compare)

9448 Bradmore LN
Suite 210
Ooltewah, TN 37363-1521
Phone (423) 376-7500

961 Spring Creek Rd
Suite 202
Chattanooga, TN 37412-3976
Phone (423) 680-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Therapy Center - Chattanooga, LLC CurrentSince Sep 8, 2025 Accepting new patients
Fortwood Center, Inc. Past Accepting new patients
Centerstone of Tennessee, Inc. Past Accepting new patients

Locations

961 Spring Creek Rd
Ste 202
East Ridge, TN 37412
Phone (423) 680-5595

Interoperability endpoints

  • Direct secure messaging: jamelia.knox@hca1.eclinicaldirectplus.com

Organizations & group practices 4

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1578041893",
    "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": "423-499-1031"
        },
        {
            "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": "423-499-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Old Ringgold Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374045444",
            "country_code": "US",
            "telephone_number": "423-266-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOX",
        "first_name": "JAMELIA",
        "middle_name": "JADE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.