Active NPI
Tammika Banks
- Counselor
- San Tan Valley, AZ
National Provider Identifier
1154730422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4103 E Mica Rd
San Tan Valley, AZ 85143-5639 - Phone
- (602) 312-9816
- NPI assigned
- Aug 12, 2014
- Last updated
- Feb 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4103 E Mica Rd
San Tan Valley, AZ 85143-5639
Mailing address
4103 E Mica Rd
San Tan Valley, AZ 85143-5639
Phone (602) 312-9816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luca Counseling and Wellness Center LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Chandler, AZ
- NPI 1356052815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708128000000",
"number": "1154730422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4103 E MICA RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435639",
"telephone_number": "602-312-9816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 E MICA RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435639",
"telephone_number": "602-312-9816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "TAMMIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.