Organization Active NPI

Tamara Allen-Wolf, LLC

  • Mental Health Counselor
  • Bedford, TX
National Provider Identifier
1801246673
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15194 Issued in TX
Legal business name
TAMARA ALLEN-WOLF, LLC
Practice address
2217 Martin Dr., Ste 200
Bedford, TX 76021
Phone
(817) 713-7223
Fax
(817) 358-6980
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Ms. Tamara Dawn Allen, LPC-S, NCC, CSAT
Title
Therapist/Owner
Phone
(817) 713-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 15194 TX Primary

Addresses

Primary practice location

2217 Martin Dr., Ste 200
Bedford, TX 76021

Mailing address

2217 Martin Dr Ste 200
Bedford, TX 76021-6249
Phone (817) 713-7223

Other names 1

  • Tamara Allen Doing business as

National Provider Directory

National Provider Directory

Locations

2217 Martin Dr
Ste 200
Bedford, TX 76021
Phone (817) 537-2044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1801246673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 MARTIN DR STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216249",
            "telephone_number": "817-713-7223",
            "fax_number": "817-358-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 MARTIN DR., STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-713-7223",
            "fax_number": "817-358-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA ALLEN-WOLF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "817-713-7223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-S, NCC, CSAT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamara Allen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.