Individual provider Active NPI

Jana Tatum, MA,LPC

  • Professional Counselor
  • Port Arthur, TX
National Provider Identifier
1477880219
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60648 Issued in TX
Practice address
7980 Anchor Dr Ste 500
Port Arthur, TX 77642-8285
Phone
(409) 727-6400
Fax
(409) 727-6403
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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 60648 TX Primary

Addresses

Primary practice location

7980 Anchor Dr Ste 500
Port Arthur, TX 77642-8285

Mailing address

7980 Anchor Dr Ste 500
Port Arthur, TX 77642-8285
Phone (409) 727-6400

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60648TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tatum Family Counseling PLLC Professional CurrentSince Jan 7, 2024 Accepting new patients
Samaritan Counseling Center of Southeast Texas PastSince Oct 31, 2022 Accepting new patients

Locations

342 E Milam St
#A
Jasper, TX 75951
Phone (409) 420-2513

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1477880219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JANA",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.