Tawny Nicole White Runnels, MC, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-18204 Issued in AZ

Practice address

6635 W Happy Valley Rd Ste A104-148
Glendale, AZ 85310-2609

Phone

(623) 680-3469

NPI assigned

May 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Enhance Counseling & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
  • NPI 1013542778
  NPD Authorized official
• Enhance the Community, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
  • NPI 1306520028
  NPD Authorized official
• Achieve Counseling & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1679129860
  NPD

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1497312318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "623-680-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "623-680-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNELS",
        "first_name": "TAWNY",
        "middle_name": "NICOLE WHITE",
        "credential": "MC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18204",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-16364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samadhy Ruiz, PA-C
• Teresa Ruiz
• Rum LLC
• Robyn L Rumple, MSW LCSW
• Ashley Rundell
• Nyanchiew Malual Ruot
• Jessica Rushforth, ATC, LAT
• Russell J Crane PLLC
• Alexander Russell, RBT
• Amber Russell, SLPA

• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.