Individual provider Active NPI

Schanda Tarkowski

  • Professional Counselor
  • Freeland, MI
National Provider Identifier
1043670078
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224376 Issued in MI
Practice address
4328 E Freeland Rd
Freeland, MI 48623-9411
Phone
(989) 492-0404
Fax
(989) 672-5649
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015326 MI
Professional Counselor 101YP2500X 6401224376 MI Primary

Addresses

Primary practice location

4328 E Freeland Rd
Freeland, MI 48623-9411

Mailing address

4328 E Freeland Rd
Freeland, MI 48623-9411
Phone (989) 492-0404

Other identifiers 1

IdentifierTypeStateIssuer
6401224376OtherMILPC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aspiringtochangecounseling@gmail.com

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
6401015326MIMDMental Health Counselor
6401224376MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Schanda Tarkowski PLLC Professional CurrentSince Jun 15, 2021 Accepting new patients

Locations

1210 Salzburg Ave
Bay City, MI 48706
Phone (989) 492-0404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1043670078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 E FREELAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239411",
            "telephone_number": "989-492-0404",
            "fax_number": "989-672-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 E FREELAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239411",
            "telephone_number": "989-492-0404",
            "fax_number": "989-672-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARKOWSKI",
        "first_name": "SCHANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015326",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "6401224376",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aspiringtochangecounseling@gmail.com",
            "affiliation": "N",
            "address_1": "4328 E Freeland Rd",
            "city": "Freeland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486239411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.