Active NPI
Lance Ray Tingle, LPCC CSAC
- Professional Counselor
- Sacramento, CA
National Provider Identifier
1437474285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1982
- Practice address
- 1104 Corporate Way Ste 218
Sacramento, CA 95831-3875 - Phone
- (916) 395-4407
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1368-08 | HI | |
| Professional Counselor | 101YP2500X | 1982 | CA | Primary |
Addresses
Primary practice location
1104 Corporate Way Ste 218
Sacramento, CA 95831-3875
Mailing address
1104 Corporate Way Ste 218
Sacramento, CA 95831-3875
Phone (916) 395-4407
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1368-08 | HI | MD | Addiction (Substance Use Disorder) Counselor |
| 1982 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1437474285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 CORPORATE WAY STE 218",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958313875",
"telephone_number": "916-395-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 CORPORATE WAY STE 218",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958313875",
"telephone_number": "916-395-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINGLE",
"first_name": "LANCE",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "LPCC CSAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "HI",
"license": "1368-08",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "1982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.