Active NPI
Tamara Okelberry, M.ED, CMHC
- Mental Health Counselor
- Magna, UT
National Provider Identifier
1003031428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 140534-6004
- Practice address
- 2613 S 8800 W
Magna, UT 84044-1238 - Phone
- (801) 228-8966
- NPI assigned
- Apr 13, 2007
- Last updated
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCPC-3657 | ID | |
| Mental Health Counselor | 101YM0800X | 140534-6004 | UT | Primary |
| Social Worker | 104100000X | LSW24292 | ID | |
| Social Worker | 104100000X | 140534-3503 | UT |
Addresses
Primary practice location
2613 S 8800 W
Magna, UT 84044-1238
Mailing address
2613 S 8800 W
Magna, UT 84044-1238
Phone (801) 228-8966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-3657 | ID | MD | Counselor |
| 140534-6004 | UT | MD | Mental Health Counselor |
| LSW24292 | ID | MD | Social Worker |
| 140534-3503 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DME Health Management Group LLC | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Liberty Care Services
- Case Management Agency
- Twin Falls, ID
- NPI 1073661328
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1003031428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 S 8800 W",
"city": "MAGNA",
"state": "UT",
"postal_code": "840441238",
"telephone_number": "801-228-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2613 S 8800 W",
"city": "MAGNA",
"state": "UT",
"postal_code": "840441238",
"telephone_number": "801-228-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKELBERRY",
"first_name": "TAMARA",
"name_prefix": "Mrs.",
"credential": "M.ED, CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LCPC-3657",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "140534-6004",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LSW24292",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "140534-3503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.