Active NPI
Tammy J Mahan, LPC
- Mental Health Counselor
- Plano, TX
National Provider Identifier
1669428835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14018
- Practice address
- 3920 Alma Dr
Plano, TX 75023-6748 - Phone
- (972) 422-5939
- Fax
- (972) 424-2382
- NPI assigned
- May 26, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14018 | TX | Primary |
Addresses
Primary practice location
3920 Alma Dr
Plano, TX 75023-6748
Mailing address
PO Box 828
McKinney, TX 75070-8144
Phone (972) 562-0190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144881301 | Medicaid | TX |
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 |
|---|---|---|---|
| 14018 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1669428835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750708144",
"telephone_number": "972-562-0190",
"fax_number": "972-562-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 ALMA DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750236748",
"telephone_number": "972-422-5939",
"fax_number": "972-424-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAN",
"first_name": "TAMMY",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144881301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.