Tamara Nicole Erisman, LMHC
Individual provider Active NPI Mental Health Counselor · Terre Haute, IN
NPI 1407007339 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1407007339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39002008A (IN)
- Practice address
- 620 8TH Ave
Terre Haute, IN 47804-2771 - Phone
- (812) 231-8350
- Fax
- (812) 231-8189
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hamilton Center, Inc.
Practice addresses (Care Compare)
620 8TH Ave
Terre Haute, IN 47804-2744
Phone (812) 231-8323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231207000214 | IN | Practitioner - Mental Health Counselor | 8022467760 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002008A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Center Inc. | Current |
Accepting new patients | |
| Wabash Valley Health Center, Inc. | Current |
Accepting new patients | |
| Hamilton Center, Inc. | Current |
Accepting new patients | |
| Wabash Valley Health Center, Inc. | Current |
Accepting new patients | |
| Cummins Behavioral Health Systems, Inc. | Past | Accepting new patients | |
| Cummins Behavioral Health Systems, Incorporated | Past | Accepting new patients |
Locations
1436 Locust St
Terre Haute, IN 47807
Phone (812) 232-7447
620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002008A | IN | Yes |
Addresses
Primary practice location
620 8TH Ave
Terre Haute, IN 47804-2771
Mailing address
620 8TH Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8323
Other providers in Terre Haute, IN
- Megan Gale Engelman
- Brittany Engler
- Kimberly J English
- Envision HP LLC
- Eugene H Epplin
- Stephen P Ernest
- Glenn C Erski
- Peggy Sue Escobedo
- Danielle Eslick
- Travis Essex
All providers in Terre Haute, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.