Individual provider Active NPI

Tamara Whitten, MS, LMFT, CFLE

  • Marriage & Family Therapist
  • Greenville, NC
National Provider Identifier
1467772905
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1307 Issued in NC
Practice address
3483 Evans St
Ste. B
Greenville, NC 27834-4529
Phone
(252) 531-3703
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1307 NC Primary

Addresses

Primary practice location

3483 Evans St
Ste. B
Greenville, NC 27834-4529

Mailing address

3483 Evans St Ste B
Greenville, NC 27834-4529
Phone (252) 320-9359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240223001689 NC Practitioner - Marriage and Family Therapist 3072957562 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1307NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy Whitten Ms LMFT Cfle PLLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

3483 Evans St
Ste B
Greenville, NC 27834
Phone (252) 320-9359

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1467772905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 EVANS ST STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344529",
            "telephone_number": "252-320-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 EVANS ST",
            "address_2": "STE. B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344529",
            "telephone_number": "252-531-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "TAMARA",
        "credential": "MS, LMFT, CFLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.