Tanisha Lumpkin, CPS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

NYCPS-P-3121 Issued in NY

Practice address

25 Elm PL FL 6
Brooklyn, NY 11201-5826

Phone

(718) 852-5212

Fax

(718) 285-8610

NPI assigned

Aug 8, 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

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Heights-Hill Mental Health Service SBPC Community Advisory Board, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1114313475

  Peer Specialist

  NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1346895091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FLATBUSH AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172499",
            "telephone_number": "718-852-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM PL FL 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015826",
            "telephone_number": "718-852-5212",
            "fax_number": "718-285-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN",
        "first_name": "TANISHA",
        "name_prefix": "Ms.",
        "credential": "CPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-P-3121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lumina Dr G Medical PLLC
• Lumina Psychotherapy Lcsws PLLC
• Lumina Social Daycare LLC
• Luminary Therapy PLLC
• Luminmed Care LLC
• Ashley Lynn Luna Gonzalez, M.S., CCC-SLP
• Luna Park Pharmacy Inc
• Jannitza D. Luna-Dilan
• Bryan Luna
• Christopher Luna

• Peer Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.