Individual provider Active NPI

Tammy Rafferty, LPCCS

  • Professional Counselor
  • East Liverpool, OH
National Provider Identifier
1477006559
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0003528-SUPV Issued in OH
Practice address
45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728
Phone
(330) 397-6007
Fax
(234) 254-5655
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 E.0003528-SUPV OH Primary

Addresses

Primary practice location

45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728

Mailing address

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

Other practice location 1

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

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

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Clinical Counseling and Wellness CurrentSince Jan 1, 2024 Accepting new patients

Locations

45875 Bell School Rd
Ste B
East Liverpool, OH 43920
Phone (234) 254-5656

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1477006559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711103",
            "telephone_number": "330-318-3078",
            "fax_number": "234-855-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "330-397-6007",
            "fax_number": "234-254-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Youngstown Poland Rd",
            "address_purpose": "LOCATION",
            "city": "Struthers",
            "state": "OH",
            "postal_code": "444711103",
            "country_code": "US",
            "telephone_number": "330-318-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "TAMMY",
        "credential": "LPCCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0003528-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.