Tammi Latonya Prince-Cooper, LMHC, LCAC, CSAYC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001587A Issued in IN

Practice address

11715 Fox Rd Ste 400-222
Indianapolis, IN 46236-8421

Phone

(317) 384-8847

NPI assigned

Dec 17, 2012

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tammi L Prince Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precious Kargo Inc

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1447021191

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1184960379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 FOX RD STE 400-222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368421",
            "telephone_number": "317-384-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 FOX RD STE 400-222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368421",
            "telephone_number": "317-384-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE-COOPER",
        "first_name": "TAMMI",
        "middle_name": "LATONYA",
        "credential": "LMHC, LCAC, CSAYC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000953A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001587A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMI",
            "last_name": "PRINCE",
            "middle_name": "L",
            "credential": "LMHC, LCAC, CSAYC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Primelife Home Care LLC
• Primetime Home Care Agency LLC
• Primrose Wound Experts LLC
• Primus Health
• Ruben Prince-Cooper, BS
• McKenzie Renee Prince, BCBA
• Melvin Jay Prince, M.D.
• William Michael Princell, DDS
• Princessizzy LLC (Serenity Care Services)
• Principle Health Solutions, LLC

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.