Individual provider Active NPI

Isabel Natasha Tanco, LPC, NCC, RAS

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1619567047
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79744 Issued in TX
Practice address
5050 Quorum Dr
Dallas, TX 75254-7564
Phone
(469) 757-5215
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79744 TX Primary

Addresses

Primary practice location

5050 Quorum Dr
Dallas, TX 75254-7564

Mailing address

5050 Quorum Dr
Dallas, TX 75254-7564

Other practice location 1

2001 Cottonwood Valley Cir S
Irving, TX 75038-5928
Phone (469) 850-2994

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address isabel@totallifecounseling.com Direct
Direct Messaging Address isabel@totallifecounseling.com

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

LicenseStateTypeSpecialty
79744TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1619567047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547564",
            "telephone_number": "469-757-5215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Cottonwood Valley Cir S",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750385928",
            "country_code": "US",
            "telephone_number": "469-850-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANCO",
        "first_name": "ISABEL",
        "middle_name": "NATASHA",
        "credential": "LPC, NCC, RAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isabel@totallifecounseling.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2001 Cottonwood Valley Cir S",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750385928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isabel@totallifecounseling.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "5050 Quorum Dr",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752547564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.