Individual provider Active NPI

Tamara L. Hale, LPC

  • Professional Counselor
  • Williamsburg, VA
National Provider Identifier
1417218553
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007258 Issued in VA
Practice address
1769 Jamestown Rd Ste 207
Williamsburg, VA 23185-2307
Phone
(208) 912-0292
Fax
(208) 912-0299
NPI assigned
Jun 5, 2012
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-5858 ID
Professional Counselor 101YP2500X 0701007258 VA Primary

Addresses

Primary practice location

1769 Jamestown Rd Ste 207
Williamsburg, VA 23185-2307

Mailing address

1769 Jamestown Rd Ste 207
Williamsburg, VA 23185-2307
Phone (208) 912-0292

Other names 1

  • Tamara Reeder Professional name

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

LicenseStateTypeSpecialty
LCPC-5858IDMDProfessional Counselor
0701007258VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1417218553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 JAMESTOWN RD STE 207",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852307",
            "telephone_number": "208-912-0292",
            "fax_number": "208-912-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 JAMESTOWN RD STE 207",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852307",
            "telephone_number": "208-912-0292",
            "fax_number": "208-912-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "TAMARA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-5858",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "REEDER",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.