Grace Tinungki Du Bois

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

725614 Issued in TN

Practice address

4160 Ocoee St N Ste 8
Cleveland, TN 37312-4886

Phone

(888) 281-4257

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Tinungki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1619547577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 OCOEE ST N STE 8",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124886",
            "telephone_number": "888-281-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 OCOEE ST N STE 8",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124886",
            "telephone_number": "888-281-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU BOIS",
        "first_name": "GRACE",
        "middle_name": "TINUNGKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TN",
            "license": "725614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "TINUNGKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Counselor in Cleveland, TN
• Providers in Cleveland, TN by specialty
• School Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.