KEITH NILSEN (NPI# 1841426814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841426814 |
| Entity Type | Individual |
| Full Name | KEITH NILSEN |
| Credential | MS, LPC, MHSP, NCC |
| Practice Address |
801 N Holtzclaw Ave Chattanooga TN 37404-1236 |
| Mailing Address |
275 Cumberland Bnd Nashville TN 37228-1805 |
| Practice Telephone | 4236975985 |
| Practice Fax Number | 4236975999 |
| Mailing Telephone | 9313494533 |
| Mailing Fax Number | 4237286449 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 3840 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3734 | TN | Behavioral Health & Social Service Providers |
| Street Address |
801 N HOLTZCLAW AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336198647 | Melissa L Wilson | Counselor | 801 N Holtzclaw Ave, Suite 101, Chattanooga, TN 37404-1236 | 2006-05-06 |
| 1245788009 | Kathryn Elizabeth Eller | Counselor | 801 N Holtzclaw Ave, Suite 101, Chattanooga, TN 37404-1236 | 2016-09-21 |
| 1194061606 | Tenesha Douglas-thomas | Counselor | 801 N Holtzclaw Ave, Suite 101, Chattanooga, TN 37404-1236 | 2013-01-02 |
| 1134455512 | Sarah J Willis | Counselor | 801 N Holtzclaw Ave, Suite 101, Chattanooga, TN 37404-1236 | 2009-10-20 |
| 1316972052 | Stephen Duane Spalding | Psychiatry & Neurology | 801 N Holtzclaw Ave, Chattanooga, TN 37404-1236 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533858 | Sarah Anne May | Counselor | 711 Signal Mountain Rd # 241, Chattanooga, TN 37405-1823 | 2020-09-18 |
| 1578065322 | Sasha Self | Counselor | 2100 Chapman Rd Ste 115, Chattanooga, TN 37421-1646 | 2018-03-07 |
| 1497256150 | Brian Clinton | Counselor | 5613 Tennessee Ave, Chattanooga, TN 37409-2331 | 2018-02-27 |
| 1114463353 | Christopher Harris | Counselor | 7429 Shallowford Rd, Chattanooga, TN 37421-2629 | 2017-01-11 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1437518206 | Kristin Smith | Counselor | 3810 Lamar Ave, Chattanooga, TN 37415-4006 | 2016-02-22 |
| 1265831499 | Eric Ralston | Counselor | 8213 Igou Gap Rd, Chattanooga, TN 37421-2708 | 2014-08-13 |
| 1609210624 | William Knowles Dwyer | Counselor | 301 Belvoir Ave, Chattanooga, TN 37411-5104 | 2013-04-21 |
| 1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
| 1225308000 | Juliet Nicole Thomas | Counselor | 3421 Dayton Blvd, Chattanooga, TN 37415-4626 | 2012-01-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on KEITH NILSEN.
| 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.