Tamara Vyncke

Individual provider Active NPI Mental Health Counselor · Ribera, NM

NPI 1164344511 · NPPES record last updated Jul 28, 2026

Key facts

NPI
1164344511
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
PO Box 397
Ribera, NM 87560-0397
Phone
(575) 421-0510
NPI assigned
Jul 28, 2026
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Entera Therapeutic Services Past
since Jan 29, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

PO Box 397
Ribera, NM 87560-0397

Mailing address

PO Box 397
Ribera, NM 87560-0397
Phone (575) 421-0510

Other names

  • Ms. Tamara Vyncke-Timmermans Professional name

Other providers in Ribera, NM

All providers in Ribera, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.