Active NPI
Tanay Diane Clemons
- Counselor
- Chester, PA
National Provider Identifier
1275817470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C52577326460882
- Practice address
- 2600 W. 9TH St
Chester, PA 19013 - Phone
- (610) 497-7701
- NPI assigned
- Oct 6, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C52577326460882 | NJ | Primary |
Addresses
Primary practice location
2600 W. 9TH St
Chester, PA 19013
Mailing address
2600 W. 9TH St
Chester, PA 19013
Phone (610) 497-7701
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 |
|---|---|---|---|
| C52577326460882 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1275817470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 W. 9TH ST",
"city": "CHESTER",
"state": "PA",
"postal_code": "19013",
"telephone_number": "610-497-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W. 9TH ST",
"city": "CHESTER",
"state": "PA",
"postal_code": "19013",
"telephone_number": "610-497-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "TANAY",
"middle_name": "DIANE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "C52577326460882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.