Active NPI
Tammi Evans Witherspoon
- Psychologist
- Arlington, TX
National Provider Identifier
1114477403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1119 W Pioneer Pkwy
Suite 115
Arlington, TX 76013-7604 - Phone
- (682) 238-3831
- Fax
- (817) 274-1900
- NPI assigned
- Oct 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | TX | ||
| Mental Health Counselor | 101YM0800X | TX | ||
| Pastoral Counselor | 101YP1600X | TX | ||
| Psychologist | 103T00000X | TX | Primary | |
| Marriage & Family Therapist | 106H00000X | TX | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | TX | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | TX | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | TX | ||
| Substance Abuse Rehabilitation Facility | 324500000X | TX | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | TX | ||
| Psychiatric Hospital Unit | 273R00000X | TX | ||
| Religious Nonmedical Health Care Institution | 282J00000X | TX | ||
| Special Hospital | 284300000X | TX |
Addresses
Primary practice location
1119 W Pioneer Pkwy
Suite 115
Arlington, TX 76013-7604
Mailing address
1119 W Pioneer Pkwy
Suite 115
Arlington, TX 76013-7604
Phone (682) 238-3831
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope in My Hands, Inc. | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Arlington, TX
- NPI 1588102743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1114477403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 W PIONEER PKWY",
"address_2": "SUITE 115",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760137604",
"telephone_number": "682-238-3831",
"fax_number": "817-274-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 W PIONEER PKWY",
"address_2": "SUITE 115",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760137604",
"telephone_number": "682-238-3831",
"fax_number": "817-274-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "TAMMI",
"middle_name": "EVANS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "282J00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Health Care Institution",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.