NPIMap

Individual provider Active NPI

Tamara D Romriell, LPC

  • Professional Counselor
  • Chubbuck, ID
National Provider Identifier
1861738478
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-5053 Issued in ID
Practice address
4460 Central Way
Ste 2
Chubbuck, ID 83202-5095
Phone
(208) 237-1711
NPI assigned
Dec 31, 2012
Last updated
Dec 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-5053 ID Primary

Addresses

Primary practice location

4460 Central Way
Ste 2
Chubbuck, ID 83202-5095

Mailing address

PO Box 4908
Pocatello, ID 83205-4908
Phone (208) 236-1600

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

State licenses

LicenseStateTypeSpecialty
LPC-5053IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
William McKee PastSince Dec 10, 2012 Accepting new patients
John Hochhalter, LPC Past Accepting new patients

Organizations & group practices 2

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": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1861738478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4908",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054908",
            "telephone_number": "208-236-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CENTRAL WAY",
            "address_2": "STE 2",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025095",
            "telephone_number": "208-237-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMRIELL",
        "first_name": "TAMARA",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.