Organization Active NPI

Tammy Marek

  • Professional Counselor
  • Baytown, TX
National Provider Identifier
1043709108
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64089 Issued in TX
Legal business name
TAMMY MAREK
Doing business as
Depression Anxiety & Wellness Center
Depression, Anxiety and Wellness Center
Practice address
4721 Garth Rd
Baytown, TX 77521-2153
Phone
(936) 647-1188
Fax
(936) 647-1212
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Tammy A MarekNPI 1194082792
Title
Owner
Phone
(936) 647-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 64089 TX Primary

Addresses

Primary practice location

4721 Garth Rd
Baytown, TX 77521-2153

Mailing address

PO Box 1611
Mont Belvieu, TX 77580-1611
Phone (936) 647-1188

Other identifiers 3

IdentifierTypeStateIssuer
1043709108OtherTXNPI 2
1194082792OtherTXNPI
3007593MedicaidTX

Other names 2

  • Depression Anxiety & Wellness Center Doing business as
  • Depression, Anxiety and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

5232 East Fwy
Baytown, TX 77521

4721 Garth Rd
Baytown, TX 77521
Phone (281) 215-3176

303 Longmire Rd
Unit 701
Conroe, TX 77304
Phone (936) 337-3223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1043709108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775801611",
            "telephone_number": "936-647-1188",
            "fax_number": "936-647-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212153",
            "telephone_number": "936-647-1188",
            "fax_number": "936-647-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY MAREK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-647-1188"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1043709108",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194082792",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007593",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Depression Anxiety & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Depression, Anxiety and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Depression, Anxiety and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.