Jewell Tamar Trazile, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1244 Issued in NC

Practice address

650 Huebner Rd
Fort Riley, KS 66442-4030

Phone

(785) 239-7924

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jewell Tamar Ham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1154440568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 STONEDALE DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665030325",
            "telephone_number": "252-902-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAZILE",
        "first_name": "JEWELL",
        "middle_name": "TAMAR",
        "name_prefix": "Ms.",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03046",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1244",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEWELL",
            "last_name": "HAM",
            "middle_name": "TAMAR",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beverly Ann Tischhauser, ARNP
• Adam Richard Todd, PA-C
• Malcolm B Torres
• Michael Trausch, PA
• Corrine Travous
• Allison Heller Treseder, AU.D.
• Brittany Triche, CRNA
• Alexandria Thi Truong, DDS
• Lashon Turner, RN
• Barbara L Umscheid, RN

• Marriage & Family Therapist in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.