Tamara Waldmiller, LMHC
Individual provider Active NPI Mental Health Counselor · Salem, MA
NPI 1144374307 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144374307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4943 (MA)
- Practice address
- 162 Federal St
Salem, MA 01970-3248 - Phone
- (978) 745-2440
- Fax
- (978) 745-7615
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4943 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Hope and Wellness, LLC | Current | Accepting new patients | |
| Northeast Behavioral Health Corporation | Past | Accepting new patients | |
| Northeast Hospital Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4943 | MA | Yes |
Addresses
Primary practice location
162 Federal St
Salem, MA 01970-3248
Mailing address
162 Federal St
Salem, MA 01970-3248
Phone (978) 745-2440
Other providers in Salem, MA
- Raymond William Waitekus
- Wakefield Care and Rehab Center
- Wal-Mart Stores East , LP
- Wal-Mart Stores East, LP
- Howard M Waldman
- Walgreen Co
- Walgreen Eastern Co Inc
- Walgreens
- Jacob Walker
- Jennifer Walker
All providers in Salem, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.