NPIMap

Organization Active NPI

Eckert Counseling Center

  • Clinical Psychologist
  • Chattanooga, TN
National Provider Identifier
1740708742
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2515 Issued in TN
Legal business name
ECKERT COUNSELING CENTER
Doing business as
Roots Counseling Center
Practice address
3421 Dayton Blvd
Roots Counseling Center
Chattanooga, TN 37415
Phone
(423) 682-8402
Fax
(423) 682-8403
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Kimberly G Eckert, PSY.D.
Title
Co-Owner, Psychologist
Phone
(423) 240-4885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2515 TN Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2500 TN

Addresses

Primary practice location

3421 Dayton Blvd
Roots Counseling Center
Chattanooga, TN 37415

Mailing address

3421 Dayton Blvd
Roots Counseling Center
Chattanooga, TN 37415
Phone (423) 682-8402

Other names 1

  • Roots Counseling Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1740708742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 DAYTON BLVD",
            "address_2": "ROOTS COUNSELING CENTER",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-682-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 DAYTON BLVD",
            "address_2": "ROOTS COUNSELING CENTER",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-682-8402",
            "fax_number": "423-682-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO-OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "423-240-4885",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2515",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2017; 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.