NPIMap

Organization Active NPI

Cindy L. Tatum, CMSW, Inc.

Doing business as CLTatum & Associates Counseling

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1578853735
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BH-3654 Issued in AZ
Legal business name
CINDY L. TATUM, CMSW, INC.
Doing business as
CLTatum & Associates Counseling
Practice address
5400 W Northern Ave
Building B, Suite 108 and 108a
Glendale, AZ 85301-1406
Phone
(602) 574-0826
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Ms. Cindy Lou Tatum-Shipley, LCSWNPI 1700066222
Title
Executive Director
Phone
(623) 876-2029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X BH-3564 AZ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X BH-3654 AZ Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X BH-3654 AZ
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X BH-3654 AZ

Addresses

Primary practice location

5400 W Northern Ave
Building B, Suite 108 and 108a
Glendale, AZ 85301-1406

Mailing address

PO Box 5160
Peoria, AZ 85385-5160
Phone (623) 876-2029

Other names 1

  • CLTatum & Associates Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cindy L Tatum CSMW Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5400 W Northern Ave
Bldg B
Glendale, AZ 85301
Phone (602) 574-0826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1578853735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5160",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853855160",
            "telephone_number": "623-876-2029",
            "fax_number": "623-933-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W NORTHERN AVE",
            "address_2": "BUILDING B, SUITE 108 AND 108A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011406",
            "telephone_number": "602-574-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY L. TATUM, CMSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "TATUM-SHIPLEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-876-2029",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "BH-3564",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "BH-3654",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "BH-3654",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "BH-3654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLTatum & Associates Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.