Organization Active NPI

Sun-Hwan Chu, PH.D., LLC

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1710179304
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000001513 Issued in TN
Legal business name
SUN-HWAN CHU, PH.D., LLC
Practice address
6160 Shallowford Rd Ste 103
Chattanooga, TN 37421-7213
Phone
(423) 893-0178
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Dr. Sun-Hwan Chu, PH.D., LLC
Title
Counselor
Phone
(423) 893-0178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC0000001513 TN Primary

Addresses

Primary practice location

6160 Shallowford Rd Ste 103
Chattanooga, TN 37421-7213

Mailing address

2546 Crestwood Dr
Chattanooga, TN 37415-6320
Phone (423) 893-0178

Other identifiers 1

IdentifierTypeStateIssuer
5441607MedicaidTN

National Provider Directory

National Provider Directory

Locations

6160 Shallowford Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 892-2939

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1710179304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 CRESTWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156320",
            "telephone_number": "423-893-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217213",
            "telephone_number": "423-893-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN-HWAN CHU, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "SUN-HWAN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "423-893-0178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LLC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000001513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441607",
            "state": "TN"
        }
    ],
    "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 Aug 16, 2007; 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.