NPIMap

Organization Active NPI

Tennessee Community Counseling Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Chattanooga, TN
National Provider Identifier
1982867040
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1000000002842 Issued in TN
Legal business name
TENNESSEE COMMUNITY COUNSELING SERVICES, INC.
Practice address
5600 Brainerd Rd
Suite B-42
Chattanooga, TN 37411-5310
Phone
(423) 296-6451
Fax
(423) 296-6515
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
John Fitzpatrick, NCACII, SAP, TN LIC
Title
Clinical Director
Phone
(423) 296-6451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1000000002842 TN Primary

Addresses

Primary practice location

5600 Brainerd Rd
Suite B-42
Chattanooga, TN 37411-5310

Mailing address

5600 Brainerd Rd
Suite B-42
Chattanooga, TN 37411-5310
Phone (423) 296-6451

Other identifiers 1

IdentifierTypeStateIssuer
1000000002842OtherTNSTATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES

National Provider Directory

National Provider Directory

Locations

5600 Brainerd Rd
Ste B42
Chattanooga, TN 37411
Phone (423) 296-6451

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1982867040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BRAINERD RD",
            "address_2": "SUITE B-42",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-296-6451",
            "fax_number": "423-296-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BRAINERD RD",
            "address_2": "SUITE B-42",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-296-6451",
            "fax_number": "423-296-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE COMMUNITY COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "423-296-6451",
        "authorized_official_credential": "NCACII, SAP, TN LIC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1000000002842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES",
            "identifier": "1000000002842",
            "state": "TN"
        }
    ],
    "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 8, 2008; 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.