Individual provider Active NPI

Tabatha Walford, LLPC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1336032051
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451024327 Issued in MI
Practice address
2200 Green Rd Ste N
Ann Arbor, MI 48105-2948
Phone
(248) 573-7417
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2507323 OH
Professional Counselor 101YP2500X 6451024327 MI Primary

Addresses

Primary practice location

2200 Green Rd Ste N
Ann Arbor, MI 48105-2948

Mailing address

3901 Sylvan Lakes Blvd Apt 510
Sylvania, OH 43560-8719
Phone (775) 219-3118

Other practice location 1

5648 Main St
Sylvania, OH 43560
Phone (419) 806-6663

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

LicenseStateTypeSpecialty
6451024327MIMDProfessional Counselor
C.2507323OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon Counseling Center CurrentSince Jun 8, 2025 Accepting new patients
Karuna House LLC Past Accepting new patients

Locations

2200 Green Rd
Ste N
Ann Arbor, MI 48105
Phone (248) 573-7417

127 N Lafayette St
South Lyon, MI 48178
Phone (248) 573-7417

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1336032051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SYLVAN LAKES BLVD APT 510",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608719",
            "telephone_number": "775-219-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052948",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5648 Main St",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "43560",
            "country_code": "US",
            "telephone_number": "419-806-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALFORD",
        "first_name": "TABATHA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2507323",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451024327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.