Tammy Lynne Wanamaker, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 05402 Issued in TX

Practice address

1101 Williams Dr
Suite 1
Georgetown, TX 78628-4109

Phone

(512) 863-9056

Fax

(512) 233-1099

NPI assigned

Aug 30, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1346350238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WILLIAMS DR",
            "address_2": "SUITE 1",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284109",
            "telephone_number": "512-863-9056",
            "fax_number": "512-233-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WILLIAMS DR",
            "address_2": "SUITE 1",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284109",
            "telephone_number": "512-863-9056",
            "fax_number": "512-233-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANAMAKER",
        "first_name": "TAMMY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "361",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPC 05402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dharshini Wallooppillai, M.D.
• Holly Jean Wallraff, LCSW
• Leah Walter, LPC
• Matthew Thomas Walters, D.C.
• Kristin Hughes Walton, LCDC
• Michelle M Wang, D.M.D.
• Shieeda Chantal Ward, M.S., CCC-SLP
• Alexxis Nicole Warford
• Landon Warner, DPT
• Austin Warnke

• Mental Health Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.