Jaclyn Emilia Tanner, M.A., COUNSELING

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

45 Wadsworth St
Hartford, CT 06106-7108

Phone

(860) 527-1124

Fax

(860) 724-2539

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

Practice roles

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.

• Jaclyn Tanner Counseling, LLC

  • Professional Counselor
  • Torrington, CT
  • NPI 1801515523
  NPD Authorized official
• Evolving Tree Therapy LLC

  • Mental Health Counselor
  • Canaan, CT
  • NPI 1720830995
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1104207158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WADSWORTH ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061067108",
            "telephone_number": "860-527-1124",
            "fax_number": "860-724-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WADSWORTH ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061067108",
            "telephone_number": "860-527-1124",
            "fax_number": "860-724-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JACLYN",
        "middle_name": "EMILIA",
        "name_prefix": "Ms.",
        "credential": "M.A., COUNSELING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Caitlin Tan
• Zewen Tan, MD
• Manish Tandon, MD
• Neil Tandon, MD
• Glendo Tangarorang, M.D.
• Rachel Sara Tannis, NP
• Alex Harris Tansey, MD
• Roshelle Monique Tappin, APRN
• Taproot Integrative Care for Holistic Health
• Arthur Edgar Tarantino, MD

• Mental Health Counselor in Hartford, CT
• Providers in Hartford, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.