Active NPI
Tamara Lynn Ford, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1346558905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8167
- Practice address
- 3719 Latrobe Dr
Suite 850
Charlotte, NC 28211-4861 - Phone
- (704) 927-5885
- NPI assigned
- Sep 16, 2010
- Last updated
- Oct 15, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8167 | NC | Primary |
Addresses
Primary practice location
3719 Latrobe Dr
Suite 850
Charlotte, NC 28211-4861
Mailing address
5122 Casino Dr
Charlotte, NC 28216-2054
Phone (704) 597-3937
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 |
|---|---|---|---|
| 8167 | NC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1346558905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 CASINO DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282162054",
"telephone_number": "704-597-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 LATROBE DR",
"address_2": "SUITE 850",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114861",
"telephone_number": "704-927-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "TAMARA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.