Individual provider Active NPI

Tamara Renee' Hurley, LPC-T

  • Mental Health Counselor
  • Wichita, KS
National Provider Identifier
1760368807
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC05411 Issued in KS
Practice address
515 N Ridge Rd Ste 204
Wichita, KS 67212-6389
Phone
(316) 409-0565
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 LPC05411 KS Primary

Addresses

Primary practice location

515 N Ridge Rd Ste 204
Wichita, KS 67212-6389

Mailing address

515 N Ridge Rd Ste 204
Wichita, KS 67212-6389
Phone (316) 409-0565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC05148-TKSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tag Treatment Center LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

515 N Ridge Rd
Ste 204
Wichita, KS 67212
Phone (316) 409-0965

Organizations & group practices 1

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": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1760368807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N RIDGE RD STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126389",
            "telephone_number": "316-409-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N RIDGE RD STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126389",
            "telephone_number": "316-409-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "TAMARA",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "credential": "LPC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LPC05411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.