Angela Tamayo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12561 Issued in TN

Practice address

146 Willow Branch Dr
Jackson, TN 38305-6624

Phone

(731) 217-4602

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Guiding Star Mental Health

  • Community/Behavioral Health Agency
  • Antioch, TN
  • NPI 1518716414

  Mental Health

  Medicare reassignment NPD
• New Direction Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Jackson, TN
  • NPI 1104732262
  NPD (past) Authorized official
• Mending Minds Wellness Center

  • Clinical Social Worker
  • Largo, MD
  • NPI 1114584091
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1144094350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 METROPLEX DR # 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113109",
            "telephone_number": "615-682-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WILLOW BRANCH DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056624",
            "telephone_number": "731-217-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9651",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "12561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weston Todd Swims, DDS
• Betsy Swindell, FNP
• James Tyler Swindle, M.D.
• T.a.M.B. of Jackson TN Inc
• Amy B Talley, APN
• Ashley N Tanner III, PHARMACIST
• Cathy Christine Tanner, LPC
• David J Tanner, PHARMACIST
• Shaylon Tanner, LPN IV
• Andrew Tanyous, DDS

• Mental Health Counselor in Jackson, TN
• Providers in Jackson, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.