Individual provider Active NPI

Tammy Tsosie, LPCC

  • Professional Counselor
  • Gallup, NM
National Provider Identifier
1033327630
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2023-0479 Issued in NM
Practice address
2025 E Aztec Ave
Gallup, NM 87301-4803
Phone
(505) 863-3828
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2023-0479 NM Primary

Addresses

Primary practice location

2025 E Aztec Ave
Gallup, NM 87301-4803

Mailing address

2025 E Aztec Ave
Gallup, NM 87301-4803
Phone (505) 863-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523000449 NM Practitioner - Mental Health Counselor 5092157958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Apr 13, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Apr 13, 2024 Accepting new patients

Locations

2025 E Aztec Ave
Gallup, NM 87301
Phone (505) 863-3120

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 3

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1033327630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014803",
            "telephone_number": "505-863-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014803",
            "telephone_number": "505-863-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOSIE",
        "first_name": "TAMMY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.