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

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.

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

LicenseStateTypeSpecialty
37PC00525400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Through Self Psychological Counseling, LLC Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other providers in Franklin, NJ

All providers in Franklin, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.