Active NPI
Tamara Lynn Kulchar
- Professional Counselor
- Fenton, MI
National Provider Identifier
1588953442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009762
- Practice address
- 100 N River St
Fenton, MI 48430-2695 - Phone
- (810) 265-9450
- NPI assigned
- Mar 31, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401009762 | MI | |
| Mental Health Counselor | 101YM0800X | 6401009762 | MI | |
| Professional Counselor | 101YP2500X | 6401009762 | MI | Primary |
Addresses
Primary practice location
100 N River St
Fenton, MI 48430-2695
Mailing address
P.O.Box 746
Grand Blanc, MI 48480
Phone (810) 265-9450
Other names 1
- Tamara L. Kulchar
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009762 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1588953442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 746",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48480",
"telephone_number": "810-265-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N RIVER ST",
"city": "FENTON",
"state": "MI",
"postal_code": "484302695",
"telephone_number": "810-265-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULCHAR",
"first_name": "TAMARA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401009762",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401009762",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "KULCHAR",
"middle_name": "L.",
"credential": "MA, LLPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.