Individual provider Active NPI

Laura Susan Sikes, MA, NCC

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1669636742
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000002864 Issued in TN
Practice address
3914 Saint Elmo Ave Ste C
Chattanooga, TN 37409-1269
Phone
(423) 802-6943
Fax
(888) 508-6829
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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
Professional Counselor 101YP2500X LPC0000002864 TN Primary

Addresses

Primary practice location

3914 Saint Elmo Ave Ste C
Chattanooga, TN 37409-1269

Mailing address

3914 Saint Elmo Ave Ste C
Chattanooga, TN 37409-1269
Phone (423) 802-6943

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC0000002864TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Psychotherapy, PLLC Professional CurrentSince Dec 12, 2021 Accepting new patients

Locations

3914 Saint Elmo Ave
Ste C
Chattanooga, TN 37409
Phone (423) 802-6943

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1669636742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 SAINT ELMO AVE STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091269",
            "telephone_number": "423-802-6943",
            "fax_number": "888-508-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 SAINT ELMO AVE STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091269",
            "telephone_number": "423-802-6943",
            "fax_number": "888-508-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKES",
        "first_name": "LAURA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000002864",
            "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 Dec 6, 2021; 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.