Individual provider Active NPI

Tanya Marie Damrow, MA SAC LPC

  • Addiction (Substance Use Disorder) Counselor
  • Sheboygan, WI
National Provider Identifier
1598488991
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16183 Issued in WI
Practice address
1221 N 26TH St
Sheboygan, WI 53081-3111
Phone
(920) 453-3557
Fax
(920) 453-3901
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7984-125 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16183 WI Primary

Addresses

Primary practice location

1221 N 26TH St
Sheboygan, WI 53081-3111

Mailing address

1221 N 26TH St
Sheboygan, WI 53081-3111
Phone (920) 453-3557

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16183WIMDAddiction (Substance Use Disorder) Counselor
7984-125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1598488991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N 26TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813111",
            "telephone_number": "920-453-3557",
            "fax_number": "920-453-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N 26TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813111",
            "telephone_number": "920-453-3557",
            "fax_number": "920-453-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMROW",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "credential": "MA SAC LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7984-125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

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