Individual provider Active NPI

Heidi Khatibi, LPC-MHSP

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1982595310
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7454 Issued in TN
Practice address
615 McCallie Ave Dept 1801
Chattanooga, TN 37403-2598
Phone
(423) 425-4438
Fax
(423) 425-5527
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 7454 TN Primary

Addresses

Primary practice location

615 McCallie Ave Dept 1801
Chattanooga, TN 37403-2598

Mailing address

615 McCallie Ave Dept 1801
Chattanooga, TN 37403-2598
Phone (423) 425-4438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7454TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1982595310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MCCALLIE AVE DEPT 1801",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032598",
            "telephone_number": "423-425-4438",
            "fax_number": "423-425-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MCCALLIE AVE DEPT 1801",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032598",
            "telephone_number": "423-425-4438",
            "fax_number": "423-425-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIBI",
        "first_name": "HEIDI",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 2025; 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.