Individual provider Active NPI

Tammy Sue Kessinger

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1013200815
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP1282-R Issued in NV
Practice address
375 N Stephanie St Ste 811
Henderson, NV 89014-8725
Phone
(702) 294-0433
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP1282-R NV Primary

Addresses

Primary practice location

375 N Stephanie St Ste 811
Henderson, NV 89014-8725

Mailing address

2360 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-5082
Phone (702) 294-0433

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

State licenses

LicenseStateTypeSpecialty
CP1282-RNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Psychiatry LLC CurrentSince Sep 6, 2020 Accepting new patients
Oasis Counseling LLC Mental Health CurrentSince May 3, 2020 Accepting new patients

Locations

375 N Stephanie St
Ste 811
Henderson, NV 89014
Phone (702) 259-0662

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1013200815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525082",
            "telephone_number": "702-294-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N STEPHANIE ST STE 811",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148725",
            "telephone_number": "702-294-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSINGER",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP1282-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.