Individual provider Active NPI

Tammy J Cover, LPC

  • Professional Counselor
  • Magnolia, TX
National Provider Identifier
1861995458
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74960 Issued in TX
Practice address
27218 Azalea CT
Magnolia, TX 77354-2940
Phone
(832) 534-3624
Fax
(832) 610-3472
NPI assigned
Mar 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 74960 TX
Mental Health Counselor 101YM0800X 74960 TX
Professional Counselor 101YP2500X 74960 TX Primary

Addresses

Primary practice location

27218 Azalea CT
Magnolia, TX 77354-2940

Mailing address

27218 Azalea CT
Magnolia, TX 77354-2940
Phone (480) 512-1613

Other identifiers 1

IdentifierTypeStateIssuer
4131716-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240205001311 TX Practitioner - Mental Health Counselor 3678929197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74960TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Online Counseling of Texas, PLLC Counselor CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1861995458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27218 AZALEA CT",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542940",
            "telephone_number": "480-512-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27218 AZALEA CT",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542940",
            "telephone_number": "832-534-3624",
            "fax_number": "832-610-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVER",
        "first_name": "TAMMY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "74960",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74960",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4131716-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.