Individual provider Active NPI

Anna Marie Tallant, LMHC NCACII

  • Clinical Social Worker
  • Pendleton, IN
National Provider Identifier
1487755716
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
39001561A Issued in IN
Practice address
131 N Pendleton Ave
Suite a
Pendleton, IN 46064
Phone
(765) 778-3223
Fax
(765) 778-3223
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 39001561A IN Primary
Counselor 101Y00000X 39001561A IN

Addresses

Primary practice location

131 N Pendleton Ave
Suite a
Pendleton, IN 46064

Mailing address

131 N Pendleton Ave
Suite a
Pendleton, IN 46064
Phone (765) 778-3223

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
39001561AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1487755716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N PENDLETON AVE",
            "address_2": "SUITE A",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "46064",
            "telephone_number": "765-778-3223",
            "fax_number": "765-778-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N PENDLETON AVE",
            "address_2": "SUITE A",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "46064",
            "telephone_number": "765-778-3223",
            "fax_number": "765-778-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLANT",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC NCACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "39001561A",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39001561A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.