Active NPI
Edward Clower
- Mental Health Counselor
- Chattanooga, TN
National Provider Identifier
1639628142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4236
- Practice address
- 7372 Applegate LN
Chattanooga, TN 37421-5200 - Phone
- (423) 994-7264
- NPI assigned
- Sep 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T0140 | GA | |
| Mental Health Counselor | 101YM0800X | 4236 | TN | Primary |
Addresses
Primary practice location
7372 Applegate LN
Chattanooga, TN 37421-5200
Mailing address
7372 Applegate LN
Chattanooga, TN 37421-5200
Phone (423) 994-7264
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
| License | State | Type | Specialty |
|---|---|---|---|
| T0140 | GA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Resources, PLLC | Current | Accepting new patients | |
| Center for a Brighter Tomorrow, PLLC | Mental Health | Past | Accepting new patients |
Locations
7372 Applegate Ln
Chattanooga, TN 37421
Phone (423) 994-7264
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.
-
- Clinic/Center
- Germantown, TN
- NPI 1922034503
-
- Mental Health Counselor
- Chattanooga, TN
- NPI 1902271398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1639628142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7372 APPLEGATE LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374215200",
"telephone_number": "423-994-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7372 APPLEGATE LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374215200",
"telephone_number": "423-994-7264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOWER",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-26",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "T0140",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4236",
"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 Sep 17, 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.