Anyer Angelica Tatis, MA EDS LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37AC00554600 Issued in NJ

Practice address

12 Harbor Ter Apt 4G
Perth Amboy, NJ 08861-4815

Phone

(908) 848-0578

NPI assigned

Jan 28, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1356932768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HARBOR TER APT 4G",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614815",
            "telephone_number": "908-848-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HARBOR TER APT 4G",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614815",
            "telephone_number": "908-848-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATIS",
        "first_name": "ANYER",
        "middle_name": "ANGELICA",
        "name_prefix": "Miss",
        "credential": "MA EDS LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00554600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.