Individual provider Active NPI

Daniel Jerome Kiser, LMFT, MA

  • Mental Health Counselor
  • Chattanooga, TN
National Provider Identifier
1962394445
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2630 Issued in TN
Practice address
961 Spring Creek Rd., Ste 202
Chattanooga, TN 37412
Phone
(706) 618-2179
NPI assigned
Jul 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2630 TN Primary

Addresses

Primary practice location

961 Spring Creek Rd., Ste 202
Chattanooga, TN 37412

Mailing address

7415 Twin Brook Dr.,
Chattanooga, TN 37421
Phone (706) 618-2179

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
I20251029000053 TN Practitioner - Marriage and Family Therapist 5597254706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2630TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Therapy Center - Chattanooga, LLC CurrentSince Aug 13, 2025 Accepting new patients

Locations

961 Spring Creek Rd
Ste 202
East Ridge, TN 37412
Phone (423) 680-5595

Interoperability endpoints

  • Direct secure messaging: daniel.kiser@hca1.eclinicaldirectplus.com

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Therapy Center - Chattanooga LLC 5 clinicians

Practice addresses (Care Compare)

961 Spring Creek Rd
Suite 202
Chattanooga, TN 37412-3976
Phone (423) 680-5595

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1962394445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 TWIN BROOK DR.,",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "706-618-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SPRING CREEK RD., STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37412",
            "telephone_number": "706-618-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "DANIEL",
        "middle_name": "JEROME",
        "credential": "LMFT, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.