Active NPI
Tamara K Christianson, LPC
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1659635795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3945-125
- Practice address
- 2004 Highland Ave Ste M
Eau Claire, WI 54701-4389 - Phone
- (715) 835-5915
- Fax
- (715) 835-8112
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3945-125 | WI | Primary |
Addresses
Primary practice location
2004 Highland Ave Ste M
Eau Claire, WI 54701-4389
Mailing address
201 S Barstow St
Eau Claire, WI 54701-3602
Phone (715) 832-2221
Other names 1
- Tamara K Martinek
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3945-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Service Society of Wisconsin | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
2004 Highland Ave
Ste M
Eau Claire, WI 54701
Phone (715) 355-9158
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Eau Claire, WI
- NPI 1184896920
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1659635795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S BARSTOW ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013602",
"telephone_number": "715-832-2221",
"fax_number": "715-838-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 HIGHLAND AVE STE M",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014389",
"telephone_number": "715-835-5915",
"fax_number": "715-835-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "TAMARA",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3945-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "MARTINEK",
"middle_name": "K",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.