Tamara Jean Morales, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

305212 Issued in MN

Practice address

310 US 71 N
Sauk Centre, MN 56378-4919

Phone

(320) 272-8989

NPI assigned

Dec 3, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healing Grace, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sauk Centre, MN
  • NPI 1114522273

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1194320473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17641 COUNTY ROAD 66 NE",
            "city": "MILTONA",
            "state": "MN",
            "postal_code": "563548272",
            "telephone_number": "763-260-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 US 71 N",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563784919",
            "telephone_number": "320-272-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "TAMARA",
        "middle_name": "JEAN",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Meichsner, PHARMD
• Amelia Lorraine Meyer
• Megan Rose Mickelson, PHARMD
• Lovette Renee Mieczkowski, D.C.
• Tim Edward Mieczkowski, D.C.
• Theresa Hoglund Mueller, LPC ATR
• Kathryn Jocelyn Nathe, AU.D.
• Jordan Lynn Michelle Notch, DC
• Sara Amanda Peterson
• Laurette Jane Quistorff, REGISTERED NURSE

• Addiction (Substance Use Disorder) Counselor in Sauk Centre, MN
• Providers in Sauk Centre, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.