Angela Louise Tanner, M.A, LPC, LCMHC, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4864 Issued in SC

Practice address

2375 E Main St Ste A101
Spartanburg, SC 29307-1400

Phone

(864) 415-8640

Fax

(864) 415-8640

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1588860365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ROBIN HELTON DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165380",
            "telephone_number": "864-415-8640",
            "fax_number": "864-541-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E MAIN ST STE A101",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071400",
            "telephone_number": "864-415-8640",
            "fax_number": "864-415-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ANGELA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "M.A, LPC, LCMHC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "336",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6631",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Talley, PT
• Ernestine Faye Sy Tan, MD
• Joey Marie Tan
• Tanya Tocharoen Tang, D.O.
• Holley Moon Tankersley
• Rachel Lynn Tanner, OD
• Rhebecca Reigers Tanner, MA, CACII
• Tampatha L Tanner, MSW
• Duangned Tantawanichpisal, MD
• Erin Tapp

• Professional Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.