Active NPI
Kamala Kae Tahyi, LICDC; LPC
- Professional Counselor
- Zanesville, OH
National Provider Identifier
1760925457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2203927
- Practice address
- 941 Blue Ave
Zanesville, OH 43701-4370 - Phone
- (740) 487-1768
- NPI assigned
- Nov 29, 2016
- Last updated
- Oct 7, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.131117 | OH | |
| Professional Counselor | 101YP2500X | C.2203927 | OH | Primary |
Addresses
Primary practice location
941 Blue Ave
Zanesville, OH 43701-4370
Mailing address
941 Blue Ave
Zanesville, OH 43701
Phone (740) 487-1768
Other practice location 1
203 N Main St
New Lexington, OH 43764-1264
Phone (740) 342-1991 ext. 247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.131117 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.2203927 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Support Therapy Services LLC | Professional | Current | Accepting new patients |
Locations
4035 Northpointe Dr
Unit B
Zanesville, OH 43701
Phone (740) 487-1768
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Zanesville, OH
- NPI 1194175497
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1760925457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 BLUE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "43701",
"telephone_number": "740-487-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 BLUE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437014370",
"telephone_number": "740-487-1768"
}
],
"practiceLocations": [
{
"address_1": "203 N Main St",
"address_purpose": "LOCATION",
"city": "New Lexington",
"state": "OH",
"postal_code": "437641264",
"country_code": "US",
"telephone_number": "740-342-1991 x247",
"fax_number": "740-342-2914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAHYI",
"first_name": "KAMALA",
"middle_name": "KAE",
"credential": "LICDC; LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2022-10-07",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.131117",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2203927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.