Individual provider Active NPI

Tamara Michelle Buecker, LPC

  • Counselor
  • Amarillo, TX
National Provider Identifier
1790960292
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
57809 Issued in TX
Practice address
4300 Teckla Blvd Ste A12
Amarillo, TX 79109-5494
Phone
(806) 576-8871
NPI assigned
Jan 2, 2008
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 57809 TX Primary

Addresses

Primary practice location

4300 Teckla Blvd Ste A12
Amarillo, TX 79109-5494

Mailing address

4300 Teckla Blvd Ste A12
Amarillo, TX 79109-5494
Phone (806) 576-8871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721001816 TX Practitioner - Mental Health Counselor 8022524750 Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57809TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Support Services of Amarillo Counselor PastSince Jan 1, 1998 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1790960292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TECKLA BLVD STE A12",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095494",
            "telephone_number": "806-576-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TECKLA BLVD STE A12",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095494",
            "telephone_number": "806-576-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECKER",
        "first_name": "TAMARA",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "57809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.