Active NPI
Lelia Anne Tankersley, L.C.S.W.-C.
- Mental Health Counselor
- Bel Air, MD
National Provider Identifier
1851429088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 04667
- Practice address
- 22 Linwood Ave
Bel Air, MD 21014-3951 - Phone
- (410) 877-3245
- Fax
- (410) 877-3245
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 04667 | MD | Primary |
Addresses
Primary practice location
22 Linwood Ave
Bel Air, MD 21014-3951
Mailing address
2808 Fallsmont Dr
Fallston, MD 21047-2247
Phone (410) 879-6432
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1069012 00 | Medicaid | MD | |
| 42175504 | Other | MD | BCBS SOCIAL WK PROVIDER |
| 4474386 | Other | MD | AETNA SOCIAL WORK PROVIDE |
| R4500001 | Other | MH | BCBS FED SOCIAL WK PROVID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04667 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851429088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 FALLSMONT DR",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472247",
"telephone_number": "410-879-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 LINWOOD AVE",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143951",
"telephone_number": "410-877-3245",
"fax_number": "410-877-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANKERSLEY",
"first_name": "LELIA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.-C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "04667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1069012 00",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SOCIAL WK PROVIDER",
"identifier": "42175504",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SOCIAL WORK PROVIDE",
"identifier": "4474386",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FED SOCIAL WK PROVID",
"identifier": "R4500001",
"state": "MH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.