Individual provider Active NPI

Lisa Haselwander, LPC-MHSP

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1932805181
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0000006055 Issued in TN
Practice address
7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623
Phone
(423) 499-9335
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0000006055 TN Primary

Addresses

Primary practice location

7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623

Mailing address

9476 Lazy Circles Dr
Ooltewah, TN 37363-9319
Phone (423) 313-5472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 22, 2024 through Aug 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000006055TNMDProfessional Counselor
6055TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmont Graduate University PastSince Apr 30, 2015 Accepting new patients

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1932805181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9476 LAZY CIRCLES DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639319",
            "telephone_number": "423-313-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 HAMILTON ACRES CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218623",
            "telephone_number": "423-499-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELWANDER",
        "first_name": "LISA",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "0000006055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.