Active NPI
Tammy Lee Kinsey, CAC-AD
- Addiction (Substance Use Disorder) Counselor
- Hagerstown, MD
National Provider Identifier
1659965374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AC2484
- Practice address
- 44 N Potomac St
Hagerstown, MD 21740-4855 - Phone
- (240) 513-6001
- Fax
- (240) 513-6122
- NPI assigned
- Feb 23, 2021
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC2484 | MD | Primary |
Addresses
Primary practice location
44 N Potomac St
Hagerstown, MD 21740-4855
Mailing address
44 N Potomac St Ste 101-102
Hagerstown, MD 21740-4855
Phone (240) 513-6001
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 |
|---|---|---|---|
| AC2484 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1659965374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 N POTOMAC ST STE 101-102",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217404855",
"telephone_number": "240-513-6001",
"fax_number": "240-513-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 N POTOMAC ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217404855",
"telephone_number": "240-513-6001",
"fax_number": "240-513-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSEY",
"first_name": "TAMMY",
"middle_name": "LEE",
"credential": "CAC-AD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC2484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.