Active NPI
Tanya Dawn Hand
- Mental Health Counselor
- Pueblo, CO
National Provider Identifier
1609193457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11938
- Practice address
- 56 Club Manor Dr
Suite 100
Pueblo, CO 81008-1679 - Phone
- (719) 584-4671
- Fax
- (719) 584-4759
- NPI assigned
- May 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11938 | CO | Primary |
Addresses
Primary practice location
56 Club Manor Dr
Suite 100
Pueblo, CO 81008-1679
Mailing address
19 Dartmouth Ave
Pueblo, CO 81005-1755
Phone (719) 302-2703
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 |
|---|---|---|---|
| 11938 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1609193457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DARTMOUTH AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810051755",
"telephone_number": "719-302-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 CLUB MANOR DR",
"address_2": "SUITE 100",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081679",
"telephone_number": "719-584-4671",
"fax_number": "719-584-4759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAND",
"first_name": "TANYA",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "11938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.