Individual provider Active NPI

Tamara Batrice Clestine Vang, CRADC, MARS, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Kansas City, MO
National Provider Identifier
1588416002
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15228 Issued in MO
Practice address
9824 Cherry St Apt 5
Kansas City, MO 64131-4129
Phone
(816) 419-8332
NPI assigned
Apr 5, 2024
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01954 KS
Addiction (Substance Use Disorder) Counselor 101YA0400X 15228 MO Primary
Specialist 174400000X 15342 MO

Addresses

Primary practice location

9824 Cherry St Apt 5
Kansas City, MO 64131-4129

Mailing address

10808 Cleveland Ave
Kansas City, KS 66109-3659
Phone (816) 739-9313

Other practice location 1

15516 E 42nd Pl
Independence, MO 64055-5005
Phone (816) 721-7165

Other practice location 2

10808 Cleveland Ave
Kansas City, KS 66109-3659
Phone (816) 739-9313

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01954KSMDAddiction (Substance Use Disorder) Counselor
15228MOMDAddiction (Substance Use Disorder) Counselor
15342MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Tomorrow Inc Addiction (Substance Use Disorder) CurrentSince Jun 29, 2025 Accepting new patients
Empowerment Solutions LLC PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1588416002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 CLEVELAND AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093659",
            "telephone_number": "816-739-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9824 CHERRY ST APT 5",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314129",
            "telephone_number": "816-419-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15516 E 42nd Pl",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640555005",
            "country_code": "US",
            "telephone_number": "816-721-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10808 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661093659",
            "country_code": "US",
            "telephone_number": "816-739-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANG",
        "first_name": "TAMARA",
        "middle_name": "BATRICE CLESTINE",
        "name_prefix": "Mrs.",
        "credential": "CRADC, MARS, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "01954",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "15228",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "15342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.