Tammie Anderson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

72252 Issued in TX

Practice address

218 N College Ave
Tyler, TX 75702-5715

Phone

(903) 593-9141

Fax

(903) 593-9865

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mosaic Counseling Centers of East Texas

  • Professional Counselor
  • Tyler, TX
  • NPI 1649554676
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1073963856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N COLLEGE AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025715",
            "telephone_number": "903-593-9141",
            "fax_number": "903-593-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N COLLEGE AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025715",
            "telephone_number": "903-593-9141",
            "fax_number": "903-593-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TAMMIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "72252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Lazelle Anderson, MD
• Mark R Anderson, MD
• Rachel Audrey Anderson, CCC-SLP
• Richard A. Anderson, MD
• Shauwanna Anderson
• Valerie A Anderson, RPH
• Nicholas Stephen Andrade, M.D.
• David A. Andreone, DPM
• Andrew Center -Adt MH
• Andrews Center (Chemical Treatment Facility)

• Mental Health Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.