Terrence Tanner, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904005040 Issued in VA

Practice address

4000 Coast Guard Blvd
HSWL
Portsmouth, VA 23703-2135

Phone

(757) 686-4036

Fax

(757) 686-4094

NPI assigned

Oct 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1750719407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COAST GUARD BLVD",
            "address_2": "HSWL",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032135",
            "telephone_number": "757-686-4036",
            "fax_number": "757-686-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COAST GUARD BLVD",
            "address_2": "HSWL",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032135",
            "telephone_number": "757-686-4036",
            "fax_number": "757-686-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "TERRENCE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904005040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Tallant, MD
• Basavalinga Swamy Talur Matadha, MD
• Tamars Healing Hands LLC
• Sally Gene Tamayo, M.D.
• Kevin Michael Taniguchi, MD
• Nicki Tarant, DO
• Hanna Tarleton, DO
• Gerald Wayne Tarr Jr., R.N., B.S., C.C.H.
• Savannah Tarro, DO
• Hamid R Tavakoli, MD

• Mental Health Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.