Active NPI
Tammerra Hewitt, NCC, LCPC, LPC, ACS
- Mental Health Counselor
- Mitchellville, MD
National Provider Identifier
1689068835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC4656
- Practice address
- 12138 Central Ave
Suite 516
Mitchellville, MD 20721-1910 - Phone
- (240) 603-6527
- Fax
- (240) 525-0852
- NPI assigned
- Mar 26, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC14523 | DC | |
| Mental Health Counselor | 101YM0800X | LC4656 | MD | Primary |
Addresses
Primary practice location
12138 Central Ave
Suite 516
Mitchellville, MD 20721-1910
Mailing address
12138 Central Ave
Suite 516
Mitchellville, MD 20721-1910
Phone (240) 603-6527
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 |
|---|---|---|---|
| PRC14523 | DC | MD | Mental Health Counselor |
| LC4656 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1689068835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12138 CENTRAL AVE",
"address_2": "SUITE 516",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211910",
"telephone_number": "240-603-6527",
"fax_number": "240-525-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12138 CENTRAL AVE",
"address_2": "SUITE 516",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211910",
"telephone_number": "240-603-6527",
"fax_number": "240-525-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "TAMMERRA",
"credential": "NCC, LCPC, LPC, ACS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2022-11-30",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC14523",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC4656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchellville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.