Tammy Lea McKaskle, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0014125 Issued in CO

Practice address

1800 30TH St Ste 207
Boulder, CO 80301-1026

Phone

(303) 946-6070

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 12, 2024 through Jun 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Balanced Transitions LLC

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1194348367
  NPD
• Windhorse Elder & Family Care, Inc

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1841813045
  NPD

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1346706512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011026",
            "telephone_number": "303-946-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011026",
            "telephone_number": "303-946-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKASKLE",
        "first_name": "TAMMY",
        "middle_name": "LEA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marilyn McIntosh, PH.D.
• Nicole Jean McIntosh
• Molly McIntyre, L.AC.,RN
• Robert B McIntyre, PH.D.
• Zeona McIntyre
• Nancy S McKay, LMT
• Evan Maxwell McKee
• Riley McKelvy
• Robert McKenna, LMT
• Barbara Kate McKeown, LCSW

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.