Tamara Ann Siegel I, MA, LPC
Individual provider Active NPI Professional Counselor · Franklin, NJ
NPI 1124487012 · NPPES record last updated Feb 19, 2016
Key facts
- NPI
- 1124487012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00525400 (NJ)
- Practice address
- 58 Big Spring Rd
Franklin, NJ 07416-9714 - Phone
- (973) 713-7055
- Fax
- (973) 209-4357
- NPI assigned
- Feb 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00525400 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerment Through Self Psychological Counseling, LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00525400 | NJ | Yes |
Addresses
Primary practice location
58 Big Spring Rd
Franklin, NJ 07416-9714
Mailing address
58 Big Spring Rd
Franklin, NJ 07416-9714
Phone (973) 713-7055
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- Kelly Roth
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- Magdalena Vazquez
All providers in Franklin, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.