Individual provider Active NPI

Tamara Segars Ott

  • Professional Counselor
  • Hewitt, TX
National Provider Identifier
1164134409
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82200 Issued in TX
Practice address
404 Oakberry Dr
Hewitt, TX 76643-3348
Phone
(254) 230-2206
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82200 TX Primary

Addresses

Primary practice location

404 Oakberry Dr
Hewitt, TX 76643-3348

Mailing address

404 Oakberry Dr
Hewitt, TX 76643-3348
Phone (254) 230-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240110002283 TX Practitioner - Mental Health Counselor 8123479516 Reassigns benefits to 1 organization
I20260415002320 VT Practitioner - Mental Health Counselor 8123479516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connection to Recovery LLCGroup PAC ID 7416374491, 7 clinicians

Practice addresses (Care Compare)

14038 China Spring Rd
Suite 13
China Spring, TX 76633-3450
Phone (512) 334-6449

67 Eastern Ave
Suite 302
Saint Johnsbury, VT 05819-5642
Phone (512) 334-6449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connection to Recovery, LLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

14038 China Spring Rd
Ste 13
China Spring, TX 76633

14038 China Spring Rd
#13
China Spring, TX 76633
Phone (512) 334-6449

67 Eastern Ave
Ste 302
St Johnsbury, VT 05819
Phone (512) 334-6449

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1164134409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 OAKBERRY DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433348",
            "telephone_number": "254-230-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 OAKBERRY DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433348",
            "telephone_number": "254-230-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "TAMARA",
        "middle_name": "SEGARS",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewitt, TX

Sources for this page

Verify at the official NPI Registry.