Active NPI
Tanya Jean Gorman, LADC ACADC CCGC
- Counselor
- Council Bluffs, IA
National Provider Identifier
1356333595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CCGC 021
- Practice address
- 515 E Broadway
Council Bluffs, IA 51503-4419 - Phone
- (712) 322-1407
- Fax
- (712) 322-6833
- NPI assigned
- Aug 15, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CCGC 021 | NE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADC | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACADC | IA |
Addresses
Primary practice location
515 E Broadway
Council Bluffs, IA 51503-4419
Mailing address
13522 Birchwood Ave
Omaha, NE 68137-4223
Phone (402) 871-9028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCGC 021 | NE | MD | Counselor |
| ACADC | IA | MD | Addiction (Substance Use Disorder) Counselor |
| LADC | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Paul MD LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Omaha, NE
- NPI 1700306339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356333595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13522 BIRCHWOOD AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681374223",
"telephone_number": "402-871-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034419",
"telephone_number": "712-322-1407",
"fax_number": "712-322-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "TANYA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LADC ACADC CCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "CCGC 021",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "LADC",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "ACADC",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.