Keith Nilsen, MS, LPC, MHSP, NCC in Chattanooga, TN

Keith Nilsen, MS, LPC, MHSP, NCC is a medicare enrolled "Counselor - Professional" provider in Chattanooga, Tennessee. His current practice location is 801 N Holtzclaw Ave, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 697-5985.

Keith Nilsen is licensed to practice in Tennessee (license number 3734) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841426814.

Contact Information

	Keith Nilsen, MS, LPC, MHSP, NCC
	801 N Holtzclaw Ave, Chattanooga, TN 37404-1236
	(423) 697-5985
	(423) 697-5999

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Nilsen
Gender	Male
Speciality	Counselor - Professional
Location	801 N Holtzclaw Ave, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841426814
Provider Enumeration Date: 06/04/2009
Last Update Date: 01/24/2017

Medicare PECOS Information:

PECOS PAC ID: 3173926623
Enrollment ID: I20240102002890

Medical Identifiers

Medical identifiers for Keith Nilsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841426814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	3840 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	3734 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith Nilsen allows following entities to bill medicare on his behalf.

Entity Name	Restoration Recovery Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770011652 PECOS PAC ID: 2961777446 Enrollment ID: O20171010000530

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Nilsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith Nilsen, MS, LPC, MHSP, NCC 275 Cumberland Bnd, Nashville, TN 37228-1805 Ph: (931) 349-4533	Keith Nilsen, MS, LPC, MHSP, NCC 801 N Holtzclaw Ave, Chattanooga, TN 37404-1236 Ph: (423) 697-5985

Reviews and Comments

Counselor in Chattanooga, TN

Mrs. Rebekah Good Doreau, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6110 Shallowford Rd, Suite B, Chattanooga, TN 37421 Phone: 888-291-4357 Fax: 423-296-6384
Mrs. Wendy Moreno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W 40th St Unit 2225, Chattanooga, TN 37409 Phone: 486-486-0774
Brandon M Galloway, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Old Ringgold Rd, Chattanooga, TN 37404 Phone: 423-266-6731
Melinda Clouse, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Spring St, Chattanooga, TN 37405 Phone: 423-756-2740
Miss Julia Derrille Flanagan, LPC MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1447 Vance Rd, Suite 106, Chattanooga, TN 37421 Phone: 423-499-4499 Fax: 423-499-4499
Kimberly Allen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5726 Marlin Rd, Franklin Building, Suite 200, Chattanooga, TN 37411 Phone: 423-954-8890 Fax: 423-954-8880
Cynthia Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Cumberland St, Suite A, Chattanooga, TN 37404 Phone: 423-266-6751 Fax: 423-763-4742

Keith Nilsen, MS, LPC, MHSP, NCC - Medicare Counselor in Chattanooga, TN