Active NPI
Tammie Robinson
- Addiction (Substance Use Disorder) Counselor
- Garfield Heights, OH
National Provider Identifier
1578059564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.167424
- Practice address
- 4625 E 88TH St
Garfield Heights, OH 44125-1333 - Phone
- (216) 242-9897
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.167424 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Behavior Technician | 106S00000X | OH | ||
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Home Health Agency | 251E00000X | OH |
Addresses
Primary practice location
4625 E 88TH St
Garfield Heights, OH 44125-1333
Mailing address
4625 E 88TH St
Garfield Heights, OH 44125-1333
Phone (216) 242-9897
Other practice location 1
38882 Mentor Ave
Willoughby, OH 44094-7875
Phone (440) 953-9999
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.167424 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1578059564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 E 88TH ST",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441251333",
"telephone_number": "216-242-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 E 88TH ST",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441251333",
"telephone_number": "216-242-9897"
}
],
"practiceLocations": [
{
"address_1": "38882 Mentor Ave",
"address_purpose": "LOCATION",
"city": "Willoughby",
"state": "OH",
"postal_code": "440947875",
"country_code": "US",
"telephone_number": "440-953-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "TAMMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.167424",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.