Jamie Sage Spear Tanzer, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014594 Issued in NY

Practice address

276 5TH Ave Ste 604-605
New York, NY 10001-4509

Phone

(978) 245-7105

NPI assigned

Aug 31, 2022

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 22, 2024 through Jul 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1255051140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 5TH AVE STE 604-605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509",
            "telephone_number": "978-245-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVE STE 604-605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509",
            "telephone_number": "978-245-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANZER",
        "first_name": "JAMIE",
        "middle_name": "SAGE SPEAR",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P116916",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED PERMIT NUMBER",
            "identifier": "P116916",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "014594",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Lauren Tantillo
• Tanu Prakash Dental Services, PC
• Shiza Tanveer, PA-C
• Brian Keith Tanz, DDS
• Angela Tanzer
• Michael Owen Tanzer, MD
• Tracy Rene Tanzer, MS. ED
• Henry James Tanzil, O.D.
• Leora Tanzman
• Alice Tao

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.