Percivil Tan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

.0016541 Issued in CO

Practice address

7665 Frigid Air PT
Colorado Springs, CO 80908-1639

Phone

(254) 258-0044

NPI assigned

Mar 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Always Hope Counseling & Supervision, PLLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1831916683
  NPD Authorized official

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1649701426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 FRIGID AIR PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809081639",
            "telephone_number": "254-258-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 FRIGID AIR PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809081639",
            "telephone_number": "254-258-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "PERCIVIL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "72127",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": ".0016541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Tamblyn
• Teryn Tamblyn
• Gina Michelle Tambone, LPC
• Marissa Tamez
• Kendra Walker Tan, MD
• Sarah N Tan, MA, LPC
• Robert M Tanabe, MD
• Chanda Tanaka, BSN, RN
• Jacqueline Sue Tanaka, BCABA
• Daniel James Tandberg, M.D.

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.