Individual provider Active NPI

Cheryl Lee Tatangelo, LPC

  • Professional Counselor
  • Cartersville, GA
National Provider Identifier
1427273655
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004275 Issued in GA
Practice address
1124 N Tennessee St
#104
Cartersville, GA 30120-7937
Phone
(435) 590-6576
NPI assigned
Apr 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004275 GA Primary

Addresses

Primary practice location

1124 N Tennessee St
#104
Cartersville, GA 30120-7937

Mailing address

4420 Shaun LN
Cumming, GA 30040-3815
Phone (435) 590-6576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105001784 GA Practitioner - Mental Health Counselor 3072047687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Professional CurrentSince Jun 23, 2024 Accepting new patients
Cherokee Center for Change Counseling, Inc. Professional Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

203 Oakside Ln
Ste F
Canton, GA 30114
Phone (470) 381-6633

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1427273655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 SHAUN LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403815",
            "telephone_number": "435-590-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N TENNESSEE ST",
            "address_2": "#104",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207937",
            "telephone_number": "435-590-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATANGELO",
        "first_name": "CHERYL",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.