Tanya Laureen Underwood, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113995 Issued in IA

Practice address

2350 Hospital Dr
Webster City, IA 50595-6600

Phone

(515) 832-7800

Fax

(515) 832-1123

NPI assigned

Aug 9, 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

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1073583472
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Show Low, AZ
  • NPI 1073740098
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Kingman, AZ
  • NPI 1336329788
  NPD
• North Country Healthcare, Inc.

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1619345675
  NPD
• North Country Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1053587261
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1184815516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR STE 230",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275392",
            "telephone_number": "615-647-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HOSPITAL DR",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505956600",
            "telephone_number": "515-832-7800",
            "fax_number": "515-832-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 Western Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093074",
            "country_code": "US",
            "telephone_number": "928-757-8111",
            "fax_number": "928-692-9218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 Miracle Mile Suites 114, 115, 116",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "86442",
            "country_code": "US",
            "telephone_number": "928-704-1221",
            "fax_number": "928-704-1243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4626 W English Dr",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "AZ",
            "postal_code": "864138238",
            "country_code": "US",
            "telephone_number": "928-565-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864015173",
            "country_code": "US",
            "telephone_number": "928-753-1177",
            "fax_number": "928-753-1178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "TANYA",
        "middle_name": "LAUREEN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111703",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "15444",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "113995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Tesdahl, OD
• Nicholas Gregory Thilges, PT, DPT
• Michael Edward Tindall, D.C.
• Trinity Regional Medical Center
• Shawn Tulp, CRNA
• Jordan Jay Wagner, PHARMD
• Webster Care Corporation
• Webster Care Corporation
• Webster City Community School District
• Webster City Ia Assisted Living LLC

• Marriage & Family Therapist in Webster City, IA
• Providers in Webster City, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.