Individual provider Active NPI

Kim Ilene Tamaren, MS,LMHC

  • Professional Counselor
  • Natick, MA
National Provider Identifier
1457484081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
452 Issued in MA
Practice address
1 Russell Cir
Natick, MA 01760-1223
Phone
(781) 302-4771
Fax
(781) 302-4635
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 452 MA Primary

Addresses

Primary practice location

1 Russell Cir
Natick, MA 01760-1223

Mailing address

1 Russell Cir
Natick, MA 01760-1223
Phone (781) 302-4771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457484081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RUSSELL CIR",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601223",
            "telephone_number": "781-302-4771",
            "fax_number": "781-302-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RUSSELL CIR",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601223",
            "telephone_number": "781-302-4771",
            "fax_number": "781-302-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAREN",
        "first_name": "KIM",
        "middle_name": "ILENE",
        "name_prefix": "Ms.",
        "credential": "MS,LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.