Active NPI
Katie Tandon, LPC, CACD, CEAP, CCA
- Mental Health Counselor
- Plymouth Meeting, PA
National Provider Identifier
1235320250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC003246
- Practice address
- 832 Germantown Pike Ste 3
Plymouth Meeting, PA 19462-2442 - Phone
- (484) 995-9262
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CACD | PA | |
| Mental Health Counselor | 101YM0800X | PC003246 | PA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | CERTIFICATION | PA | |
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
832 Germantown Pike Ste 3
Plymouth Meeting, PA 19462-2442
Mailing address
36 Marian Rd
Phoenixville, PA 19460-2911
Phone (610) 917-0262
Other names 1
- Ms. Katie Shaw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CACD | PA | MD | Addiction (Substance Use Disorder) Counselor |
| PC003246 | PA | MD | Mental Health Counselor |
| CERTIFICATION | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1235320250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MARIAN RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602911",
"telephone_number": "610-917-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 GERMANTOWN PIKE STE 3",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622442",
"telephone_number": "484-995-9262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANDON",
"first_name": "KATIE",
"name_prefix": "Ms.",
"credential": "LPC, CACD, CEAP, CCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "CACD",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC003246",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "CERTIFICATION",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "SHAW",
"prefix": "MS.",
"credential": "SAME",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.