Individual provider Active NPI

Elizabeth Mountz

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1740737600
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7591 Issued in TN
Practice address
6727 Heritage Business CT
Chattanooga, TN 37421-7015
Phone
(423) 314-7768
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 7591 TN Primary

Addresses

Primary practice location

6727 Heritage Business CT
Chattanooga, TN 37421-7015

Mailing address

PO Box 1765
Collegedale, TN 37315-1765

Other practice location 1

1635 Chestnut St
Chattanooga, TN 37408-1024
Phone (865) 525-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204000134 TN Practitioner - Clinical Social Worker 1759811979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Possibilities CounselingGroup PAC ID 6800248212, 7 clinicians

Practice addresses (Care Compare)

3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone (931) 372-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7591TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Reimagined LLC CurrentSince Jan 23, 2025 Accepting new patients
Infinite Possibilities Counseling CurrentSince Jan 23, 2025 Accepting new patients
Omni Community Health, Inc. Clinical PastSince Feb 3, 2020 Accepting new patients

Locations

3380 Walnut Grove Rd
Sparta, TN 38583
Phone (931) 345-3968

Organizations & group practices 3

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1740737600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1765",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "373151765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 HERITAGE BUSINESS CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217015",
            "telephone_number": "423-314-7768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374081024",
            "country_code": "US",
            "telephone_number": "865-525-0391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUNTZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.