Tahonna Latreise Surrell, MS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3236 E Chandler Blvd Unit 1034
Phoenix, AZ 85048-7281

Phone

(520) 280-6272

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Awakening Chrysalis Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Gilbert, AZ
  • NPI 1922961507
  NPD

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1508478082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 E CHANDLER BLVD UNIT 1034",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487281",
            "telephone_number": "520-280-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 E CHANDLER BLVD UNIT 1034",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487281",
            "telephone_number": "520-280-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRELL",
        "first_name": "TAHONNA",
        "middle_name": "LATREISE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgicenters of America LP
• Ritika Suri, MD
• Kyle Dean Surian
• Tiffany Jeneen Surman, MS CCC-SLP
• Harrison Surprise
• Surrender Wellness Center
• Kiran Suryadevara
• Susan del Sordi Staats, DO PLLC
• Susan K Oles DMD PLLC
• Sierra Susha

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

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