NPIMap

Organization Active NPI

Tamara's Variety of Services

  • Mental Health Counselor
  • Columbus, GA
National Provider Identifier
1215439427
Registry record updated Mar 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC008601 Issued in GA
Legal business name
TAMARA'S VARIETY OF SERVICES
Practice address
3025 University Ave Ste 407B
Columbus, GA 31907-2101
Phone
(706) 221-3630
Fax
(706) 221-3630
NPI assigned
Mar 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2018

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

Authorized official

Name
Tamara MeadowsNPI 1982950606
Title
Owner
Phone
(706) 221-3630

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 511466
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC008601 GA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3025 University Ave Ste 407B
Columbus, GA 31907-2101

Mailing address

3025 University Ave Ste 407B
Columbus, GA 31907-2101
Phone (706) 221-3630

Other identifiers 1

IdentifierTypeStateIssuer
003189415AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3025 University Ave
Ste 407B
Columbus, GA 31907
Phone (706) 221-3630

Practitioners & affiliated clinicians

Practitioners 4

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": "1520035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520035200000",
    "number": "1215439427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 UNIVERSITY AVE STE 407B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072101",
            "telephone_number": "706-221-3630",
            "fax_number": "706-221-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 UNIVERSITY AVE STE 407B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072101",
            "telephone_number": "706-221-3630",
            "fax_number": "706-221-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA'S VARIETY OF SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-03",
        "last_updated": "2018-03-03",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-221-3630"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "511466",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008601",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003189415A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2018; 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.