Tamara O Stadem, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

50 Issued in AK

Practice address

1700 Bogard Rd
Suite 201
Wasilla, AK 99654-6533

Phone

(907) 373-8080

Fax

(907) 373-8081

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health and Services - WashingtonGroup PAC ID 8628965910, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Health & Services - Washington

  dba Providence Medical Group Alaska

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1538254347

  Mental Health

  Medicare reassignment Care Compare group NPD
• Providence Health & Services- Washington

  dba Providence Medical Group Alaska

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
  • NPI 1093956278
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659306116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BOGARD RD",
            "address_2": "SUITE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546533",
            "telephone_number": "907-373-8080",
            "fax_number": "907-373-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BOGARD RD",
            "address_2": "SUITE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546533",
            "telephone_number": "907-373-8080",
            "fax_number": "907-373-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADEM",
        "first_name": "TAMARA",
        "middle_name": "O",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH4828",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Spur, OT
• SRC Case Management Group
• Mitchell Alexander St. Clair, PT, DPT
• Felisha Michelle Stachelrodt
• Jeanette Stack, LMP
• James O Staengel
• Jean Jacqueline Stanefski, P.T.
• Stanley Health Clinics PC (Back and Neck Pain Relief Center of Wasilla)
• Brian Douglas Stanley, DC
• Erika Lea Stannard, PSYD

• Mental Health Counselor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.