Allen B Tacke, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2408 Issued in TN

Practice address

607 Ingleside Ave
Athens, TN 37303-3749

Phone

(423) 745-8942

NPI assigned

Dec 23, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Navos

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1194728105
  Medicare reassignment NPD
• Navos

  • Psychiatric Hospital
  • Seattle, WA
  • NPI 1124034699
  NPD

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1285870196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 WARD RD",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373224801",
            "telephone_number": "423-667-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 INGLESIDE AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033749",
            "telephone_number": "423-745-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKE",
        "first_name": "ALLEN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Sumida, M.D.
• Summit Medical Group, PLLC (Athens Medical Group)
• Daniel Surman
• Suncica Sunshine Svalina, DPT
• Abby Swaim, RDH
• Tennessee Cancer Specialists
• Tennessee Cancer Specialists PLLC
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #03783)
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #03728)
• Tennessee Department of Health (McMinn County Health Department)

• Professional Counselor in Athens, TN
• Providers in Athens, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.