Thomas J Tankersley, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701002886 Issued in VA

Practice address

3025 Peters Creek Rd NW Ste a
Roanoke, VA 24019-2760

Phone

(540) 352-7611

Fax

(540) 362-0973

NPI assigned

Sep 28, 2006

Last updated

Mar 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dominion Outpatient Services, LLC

  dba Dominion Outpatient Services

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1790932911
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1538250949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 BUCKLAND MILL RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196736",
            "telephone_number": "540-265-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 PETERS CREEK RD NW STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192760",
            "telephone_number": "540-352-7611",
            "fax_number": "540-362-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKERSLEY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Marie Talty, D.O.
• Joseph Tamez, MD
• Tandem Counseling & Consulting, LLC (Tandem Behavioral Health)
• David Bao Tang, DMD
• Kylie Ann Tangney, CPNP-PC
• Michael Tankus, DPT
• Rebecca Webb Tanner
• Annette Gay Tarpley, NP
• Brittany Tarzia, LPC
• Angela Marie Tate

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.