Tamara Diane Monroe, BSC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BH004575 Issued in PA

Practice address

1250 Veterans Hwy # G18A
Bristol, PA 19007-2595

Phone

(267) 580-9291

NPI assigned

Sep 5, 2019

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

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1265081913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 VETERANS HWY # G18A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072595",
            "telephone_number": "215-892-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 VETERANS HWY # G18A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072595",
            "telephone_number": "267-580-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Parkside Cir",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190563501",
            "country_code": "US",
            "telephone_number": "215-892-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "TAMARA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "BSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "BH004575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bristol, PA
• Providers in Bristol, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.