Tammy M. Burgin, MS
Individual provider Active NPI Mental Health Counselor · Pacoima, CA
NPI 1639319239 · NPPES record last updated Feb 23, 2009
Key facts
- NPI
- 1639319239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 12450 Van Nuys Blvd
Suite 200
Pacoima, CA 91331-1391 - Phone
- (818) 896-1161
- Fax
- (818) 896-5069
- NPI assigned
- Feb 23, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
12450 Van Nuys Blvd
Suite 200
Pacoima, CA 91331-1391
Mailing address
12450 Van Nuys Blvd
Suite 200
Pacoima, CA 91331-1391
Phone (818) 896-1161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7420 | Medicaid | CA | |
| 7068 | Medicaid | CA |
Other providers in Pacoima, CA
- Donna Brown
- Iyonna Brown
- Phyllis Brown
- Christine Buda
- Minh Thi Bui
- Latonya Burnell
- Irma F Bustamante
- Jennifer Cabral
- Paloma Cabral
- California Treatment Center
All providers in Pacoima, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.