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Deactivated NPI 1205484706 Deactivated / Inactive NPI Female Practitioner

Samara Bates

Counselor - School • Chattanooga, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Samara Bates has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2019
NPI Deactivation Date November 03, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Samara Bates was a registered Counselor - School practicing in Chattanooga, TN. Throughout an active medical career spanning 4 years, Samara Bates provided care at the practice location at 6110 SHALLOWFORD RD until profile deactivation on 2023-11-03.

Practice Location & Contact Primary Location

Practice Address

6110 Shallowford Rd

Chattanooga, TN 374211894

Telephone 9015095406
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 7.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Chattanooga, TN (104 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rebekah Doreau , MA

Counselor - Mental Health

NPI 1003003245

Master of Arts

NPI 1023158227

Doctor of Psychology (Psy.D.)

Dr. Todd Eaton , PhD

Psychologist - Clinical

NPI 1043315609

Doctor of Philosophy (Ph.D.)

Kelli Craig

Counselor - Mental Health

NPI 1053966309
Amora Gordon

Social Worker

NPI 1053999235
Brian Keplinger

Counselor - Mental Health

NPI 1093233710

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location January 13, 2025

Registered at 6110 SHALLOWFORD RD, CHATTANOOGA, TN 374211894 (Tel: 9015095406)

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Updated Business Mailing Address January 13, 2025

Registered at 6110 SHALLOWFORD RD, CHATTANOOGA, TN 374211894 (Tel: 9015095406)

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Provider Name / Credentials Updated January 13, 2025

Recorded as SAMARA BATES

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2025

Counselor

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NPI Profile Deactivated November 03, 2023

Record deactivated on November 03, 2023

NPI Profile Active August 28, 2019

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2019

Registered at 6110 SHALLOWFORD RD, CHATTANOOGA, TN 374211894 (Tel: 9015095406)

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Updated Business Mailing Address August 28, 2019

Registered at 6110 SHALLOWFORD RD, CHATTANOOGA, TN 374211894 (Tel: 9015095406)

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Provider Name / Credentials Updated August 28, 2019

Recorded as SAMARA BATES

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2019

Counselor

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Initial NPI Registration & Enumeration August 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205484706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2019
Last Update: January 13, 2025
Deactivation Date: November 03, 2023
Sole Proprietor: No

Mailing Address

6110 Shallowford Rd

Chattanooga, TN 374211894

Phone: 9015095406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.