Taquoia Hammick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

208 Fire Monument Rd
Hinckley, MN 55037-8310

Phone

(877) 758-6328

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD
• Plum Behavioral Health Services LLC

  dba Plum Behavioral Health Services

  • Mental Health Counselor
  • Hinckley, MN
  • NPI 1588186548
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1811566235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 W 1ST ST # B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FIRE MONUMENT RD",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550378310",
            "telephone_number": "877-758-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMICK",
        "first_name": "TAQUOIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Caza, RPH
• Ryan Todd Degerstrom, PT
• Kenneth E. Etterman, M.D.
• Nicole Frogner
• Donald John Grote, DDS
• Kyle M Hams, DC
• Stephanie Alexis Hanowski
• Darnell Jean Hendrickson, OCCUPATIONAL THERAPI
• Hinckley Assisted Living LLC. (Elderwood of Hinckley)
• Hinckley Dental Center P. a.

• Mental Health Counselor in Hinckley, MN
• Providers in Hinckley, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.

Verify at the official NPI Registry.