Active NPI
Tawni Marie Ferguson, QMHA
- Mental Health Counselor
- Lincoln City, OR
National Provider Identifier
1851834477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4422 NE Devils Lake Blvd
Suite 203
Lincoln City, OR 97367-5000 - Phone
- (541) 265-4196
- Fax
- (541) 994-1882
- NPI assigned
- Nov 30, 2016
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4422 NE Devils Lake Blvd
Suite 203
Lincoln City, OR 97367-5000
Mailing address
2717 NW Jetty Ave
Lincoln City, OR 97367-4342
Phone (801) 889-9822
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1851834477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 NW JETTY AVE",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973674342",
"telephone_number": "801-889-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 NE DEVILS LAKE BLVD",
"address_2": "SUITE 203",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675000",
"telephone_number": "541-265-4196",
"fax_number": "541-994-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "TAWNI",
"middle_name": "MARIE",
"credential": "QMHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.