Organization Active NPI

Tammy Spengler, LCSW-C, LLC

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1174010136
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
09953 Issued in MD
Legal business name
TAMMY SPENGLER, LCSW-C, LLC
Practice address
5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3259
Phone
(443) 248-3437
Fax
(410) 884-6910
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Tammy Jane Spengler, LCSW-CNPI 1174849921
Title
Owner
Phone
(443) 248-3437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 09953 MD Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3259

Mailing address

5218 Wood Stove LN
Columbia, MD 21045-1915
Phone (443) 248-3437

Other identifiers 1

IdentifierTypeStateIssuer
446210600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180426000514 MD Part B Supplier - Clinic/Group Practice 8628332764 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1174010136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 WOOD STOVE LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451915",
            "telephone_number": "443-248-3437",
            "fax_number": "410-884-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453259",
            "telephone_number": "443-248-3437",
            "fax_number": "410-884-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY SPENGLER, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SPENGLER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-248-3437",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "09953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "446210600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.