Individual provider Active NPI

Alexandrian Elaine Peek, LPC-MHSP

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1578163754
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000005060 Issued in TN
Practice address
6400 Lee Hwy Ste 110
Chattanooga, TN 37421-2452
Phone
(423) 648-4951
Fax
(423) 490-0410
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 LPC0000005060 TN Primary

Addresses

Primary practice location

6400 Lee Hwy Ste 110
Chattanooga, TN 37421-2452

Mailing address

10014 Tellico Dr
Ooltewah, TN 37363-8615
Phone (423) 718-8136

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000005060TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Psychiatric Services PC CurrentSince Nov 1, 2020 Accepting new patients

Locations

6400 Lee Hwy
Ste 110
Chattanooga, TN 37421
Phone (423) 648-4951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1578163754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 TELLICO DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638615",
            "telephone_number": "423-718-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LEE HWY STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212452",
            "telephone_number": "423-648-4951",
            "fax_number": "423-490-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEK",
        "first_name": "ALEXANDRIAN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000005060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.