Active NPI
Elizabeth A Tatum, MA, LPC
- Counselor
- Raleigh, NC
National Provider Identifier
1770808511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7741
- Practice address
- 610 W Peace St
Raleigh, NC 27605-1520 - Phone
- (919) 413-0367
- NPI assigned
- Apr 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7741 | NC | Primary |
Addresses
Primary practice location
610 W Peace St
Raleigh, NC 27605-1520
Mailing address
610 W Peace St
Raleigh, NC 27605-1520
Phone (919) 413-0367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770808511 | Medicaid | NC |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7741 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1770808511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W PEACE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051520",
"telephone_number": "919-413-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W PEACE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051520",
"telephone_number": "919-413-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "7741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770808511",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.