Andrea Lashawn Tanner, ABD, LPC, LMFT, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3171 Issued in OK

Practice address

10 SW 2ND St Ste 4
Lawton, OK 73501-4027

Phone

(580) 512-9862

Fax

(580) 585-5890

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Andrea Lashawn Tanner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Village Builders Clinical Counseling Solutions and Consulting, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Katy, TX
  • NPI 1790581866
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1629288899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774410040",
            "telephone_number": "580-512-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SW 2ND ST STE 4",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014027",
            "telephone_number": "580-512-9862",
            "fax_number": "580-585-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ANDREA",
        "middle_name": "LASHAWN",
        "credential": "ABD, LPC, LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "354",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "705",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "TANNER",
            "middle_name": "LASHAWN",
            "credential": "ABD, LPC, LMFT, LADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Johnathan Parker Tadlock, DO
• Ellen Rochelle Tahhahwah-Martinez, RN
• Edward Jerome Tahhahwah III
• Rozanne Takewahpoor, RN
• Margaret Anne Tamez
• Taormina Counseling Services LLC
• Alanna Taormina, LMFT
• Kathryn Schreck Tardieu
• Jason Lee Tarin, CJ
• Tatas for Now

• Mental Health Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.