Individual provider Active NPI

Tamara Lee Imel, LMHC

  • Mental Health Counselor
  • New Castle, IN
National Provider Identifier
1669450755
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001395A Issued in IN
Practice address
744 Hawthorn Rd
New Castle, IN 47362-5236
Phone
(765) 703-2720
Fax
(765) 703-2720
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39001395A IN Primary

Addresses

Primary practice location

744 Hawthorn Rd
New Castle, IN 47362-5236

Mailing address

744 Hawthorn Rd
New Castle, IN 47362-5236
Phone (765) 703-2720

Other practice location 1

23 S 8th St Ste 400
Noblesville, IN 46060-2633
Phone (765) 703-2720

Other identifiers 5

IdentifierTypeStateIssuer
000000194594OtherINBLUE CROSS ID
000000884714OtherINANTHEM
000000884527OtherINANTHEM
296837000OtherINMAGELLAN HEALTH PROVIDER
60054OtherINAETNA PROVIDER ID

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

LicenseStateTypeSpecialty
39001395AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Lights Therapy Mental Health Past Accepting new patients
Healing Place Therapy Mental Health PastSince Nov 13, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1669450755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 HAWTHORN RD",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625236",
            "telephone_number": "765-703-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 HAWTHORN RD",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625236",
            "telephone_number": "765-703-2720",
            "fax_number": "765-703-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 S 8th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460602633",
            "country_code": "US",
            "telephone_number": "765-703-2720",
            "fax_number": "765-703-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMEL",
        "first_name": "TAMARA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001395A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "000000194594",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000884714",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000884527",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH PROVIDER",
            "identifier": "296837000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "60054",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.