Individual provider Active NPI

Tamara J. Tagg

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1700244290
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1120 Hancock St
Quincy, MA 02169-4313
Phone
(617) 471-8400
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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 Primary

Addresses

Primary practice location

1120 Hancock St
Quincy, MA 02169-4313

Mailing address

24 Williams Ave
Weymouth, MA 02190-3437
Phone (617) 697-3488

Other practice location 1

200 Cordwainer Dr Ste 200
Norwell, MA 02061-1671
Phone (781) 878-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207001664 MA Practitioner - Mental Health Counselor 0143663195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Integrative Counseling and Wellness LLCGroup PAC ID 4183022288, 6 clinicians

Practice addresses (Care Compare)

62 Derby St
Suite 6
Hingham, MA 02043-3718
Phone (781) 740-9227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative Counseling and Wellness LLC Mental Health CurrentSince Jan 22, 2024 Accepting new patients
Vita G Counseling LLC Mental Health CurrentSince Jan 16, 2025 Accepting new patients
Bay State Community Services, Inc. PastSince Mar 18, 2015 Accepting new patients
South Shore Center for Wellness LTD PastSince Sep 24, 2013 Accepting new patients

Locations

62 Derby St
Ste 6
Hingham, MA 02043
Phone (781) 254-8915

Organizations & group practices 4

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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1700244290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WILLIAMS AVE",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021903437",
            "telephone_number": "617-697-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694313",
            "telephone_number": "617-471-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Cordwainer Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611671",
            "country_code": "US",
            "telephone_number": "781-878-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGG",
        "first_name": "TAMARA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.