Individual provider Active NPI

Christopher S. Byrnes, MA LPC-MHSP

  • Professional Counselor
  • Old Fort, TN
National Provider Identifier
1750370433
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2402 Issued in TN
Practice address
1375 Horns Creek Rd
Old Fort, TN 37362-7650
Phone
(423) 813-9340
NPI assigned
Oct 17, 2005
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2402 TN
Professional Counselor 101YP2500X 1961 NE
Professional Counselor 101YP2500X 578 AK
Professional Counselor 101YP2500X 1126 NE
Professional Counselor 101YP2500X 00384 IA
Professional Counselor 101YP2500X 2402 TN Primary

Addresses

Primary practice location

1375 Horns Creek Rd
Old Fort, TN 37362-7650

Mailing address

6400 Lee Hwy Ste 106
Chattanooga, TN 37421-2452
Phone (423) 855-0402

Other identifiers 1

IdentifierTypeStateIssuer
1020986MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 9, 2025 through May 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
578AKMDProfessional Counselor
2402TNMDProfessional Counselor
1961NEMDFamily Medicine Physician
00384IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Counseling Center, LLC Professional CurrentSince Aug 27, 2023 Accepting new patients
Summit Counseling Center Counselor PastSince Aug 27, 2023 Accepting new patients

Locations

6400 Lee Hwy
Ste 106
Chattanooga, TN 37421
Phone (423) 855-0402

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1750370433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 LEE HWY STE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212452",
            "telephone_number": "423-855-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 HORNS CREEK RD",
            "city": "OLD FORT",
            "state": "TN",
            "postal_code": "373627650",
            "telephone_number": "423-813-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "CHRISTOPHER",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "MA LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "2402",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1961",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "578",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1126",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "00384",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Fort, TN

Sources for this page

Verify at the official NPI Registry.