Active NPI
Tamra Lee Ellsworth, M. ED., LPC
- Professional Counselor
- Kingsville, TX
National Provider Identifier
1770095655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67224
- Practice address
- 223 N FM 772
Kingsville, TX 78363-2609 - Phone
- (361) 592-1045
- Fax
- (361) 592-6126
- NPI assigned
- Oct 31, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 67224 | TX | |
| Professional Counselor | 101YP2500X | 67224 | TX | Primary |
Addresses
Primary practice location
223 N FM 772
Kingsville, TX 78363-2609
Mailing address
223 N FM 772
Kingsville, TX 78363-2609
Phone (361) 592-1045
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67224 | TX | MD | Clinical Social Worker |
| 13728 | NC | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1770095655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N FM 772",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783632609",
"telephone_number": "361-592-1045",
"fax_number": "361-592-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N FM 772",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783632609",
"telephone_number": "361-592-1045",
"fax_number": "361-592-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLSWORTH",
"first_name": "TAMRA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "M. ED., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "67224",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.