Active NPI
Tammy K Clouzet, LCPC
- Professional Counselor
- Wichita, KS
National Provider Identifier
1144565060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03681
- Practice address
- 6700 W Central Ave
#106
Wichita, KS 67212-6334 - Phone
- (316) 945-5200
- NPI assigned
- Dec 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 03681 | KS | Primary |
Addresses
Primary practice location
6700 W Central Ave
#106
Wichita, KS 67212-6334
Mailing address
6700 W Central Ave
#106
Wichita, KS 67212-6334
Phone (316) 945-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204001876 | KS | Practitioner - Mental Health Counselor | 4082140843 | Practice locations: Wichita, KS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03681 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1144565060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 W CENTRAL AVE",
"address_2": "#106",
"city": "WICHITA",
"state": "KS",
"postal_code": "672126334",
"telephone_number": "316-945-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 W CENTRAL AVE",
"address_2": "#106",
"city": "WICHITA",
"state": "KS",
"postal_code": "672126334",
"telephone_number": "316-945-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUZET",
"first_name": "TAMMY",
"middle_name": "K",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-04",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "03681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.