Individual provider Active NPI

Tammy Lynn Hupp Putvin, MA

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1376773747
Registry record updated Nov 16, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Oct 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60113022 Issued in WA
Practice address
521 Union Ave SE
Olympia, WA 98501-1487
Phone
(360) 349-2346
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00018634 WA
Mental Health Counselor 101YM0800X MC60113022 WA Primary

Addresses

Primary practice location

521 Union Ave SE
Olympia, WA 98501-1487

Mailing address

1828 Bigelow Ave NE
Olympia, WA 98506-4604
Phone (360) 349-2346

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60113022WAMDMental Health Counselor
RC00018634WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1376773747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 BIGELOW AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064604",
            "telephone_number": "360-349-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 UNION AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011487",
            "telephone_number": "360-349-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTVIN",
        "first_name": "TAMMY",
        "middle_name": "LYNN HUPP",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00018634",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60113022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.