ECKERT COUNSELING CENTER (NPI# 1740708742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740708742 |
Entity Type | Organization |
Organization Name | ECKERT COUNSELING CENTER |
Other Organization Name | ROOTS COUNSELING CENTER |
Practice Address |
3421 Dayton Blvd Roots Counseling Center Chattanooga TN 37415 |
Practice Telephone | 4236828402 |
Practice Fax Number | 4236828403 |
Mailing Telephone | 4236828402 |
Enumeration Date | 2017-08-30 |
Last Update Date | 2017-08-30 |
Authorized Official Name | KIMBERLY G ECKERT (CO-OWNER, PSYCHOLOGIST) |
Authorized Official Telephone | 4232404885 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
2500 | TN | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2515 | TN | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Roots Counseling Center | Doing Business As Name - Organization |
Street Address |
3421 DAYTON BLVD ROOTS COUNSELING CENTER |
City | CHATTANOOGA |
State | TN |
Zip Code | 37415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225308000 | Juliet Nicole Thomas | Counselor | 3421 Dayton Blvd, Chattanooga, TN 37415-4626 | 2012-01-10 |
1811453285 | Rachel Garland Cox Downer | Counselor | 3421 Dayton Blvd, Chattanooga, TN 37415-4626 | 2019-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
1811358781 | Bisscom Consulting and Services | Social Worker | 2021 Ashmore Ave, Chattanooga, TN 37415 | 2016-03-18 |
1700241783 | Megan D. Vonwerssowetz | Nurse Practitioner | 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 | 2015-12-17 |
1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
1033403969 | Stephen Denney Muller | Counselor | 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 | 2011-06-08 |
1619115938 | Connie Elizabeth Fesmire | Registered Nurse | 3119 Reflecting Drive, Chattanooga, TN 37415 | 2009-01-23 |
1205972395 | Ella Grace Ford | Social Worker | 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 | 2007-01-29 |
1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
Find all providers in zip 37415 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
1851692099 | George Henry Bercaw | Psychologist | 1145 N Concord Rd, Chattanooga, TN 37421-3848 | 2010-11-04 |
1023347838 | Mind Matters, LLC | Psychologist | 3146 Broad St, Chattanooga, TN 37408-3095 | 2009-12-08 |
1437357456 | Gaston Therapy, LLC | Psychologist | 112 Jordan Dr, Chattanooga, TN 37421-6802 | 2007-07-11 |
1518183334 | Mark A Womack | Psychologist | 5340 Ringgold Rd Ste 100, Chattanooga, TN 37412-3194 | 2007-04-18 |
1063557106 | David John Caye | Psychologist | 1504a Mccallie Avenue, Chattanooga, TN 37404-0000 | 2007-02-20 |
1992850408 | Kimberlee Caroline Berry-sawyer | Psychologist | 3209 Ozark Cir, Chattanooga, TN 37415-5107 | 2007-01-24 |
1598814394 | Michael Kavkewitz | Psychologist | 6727 Heritage Business Ct, Suite 724, Chattanooga, TN 37421-7015 | 2007-01-09 |
1396809984 | William Alan Wray | Psychologist | 325 Market Street, Suite 305, Chattanooga, TN 37402-1247 | 2006-12-20 |
1316032634 | Carolyn E Davidson | Psychologist | 5751 Uptain Road, Suite 509, Chattanooga, TN 37411 | 2006-10-03 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37415 |
Please comment or provide details below to improve the information on ECKERT COUNSELING CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.