Individual provider Active NPI

Tamara Fanae'-Nicholson Ferebee, LPC

  • Professional Counselor
  • Chester, VA
National Provider Identifier
1871740639
Registry record updated Aug 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004365 Issued in VA
Practice address
10800 Tuscola Dr
Chester, VA 23831-1306
Phone
(804) 425-8198
NPI assigned
Aug 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2008

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 0701004365 VA Primary

Addresses

Primary practice location

10800 Tuscola Dr
Chester, VA 23831-1306

Mailing address

10800 Tuscola Dr
Chester, VA 23831-1306
Phone (804) 425-8198

Other identifiers 1

IdentifierTypeStateIssuer
11865006OtherCAQH #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240508004176 VA Practitioner - Mental Health Counselor 3476992603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otl Community ServicesGroup PAC ID 0941448211, 4 clinicians

Practice addresses (Care Compare)

3522 Boulevard
Suite D
Colonial Heights, VA 23834-1304
Phone (804) 613-6068

9201 Arboretum Pkwy
Suite 300
North Chesterfield, VA 23236-5407
Phone (855) 355-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otl Community Services Professional CurrentSince Apr 25, 2024 Accepting new patients
The Healing Trees, Inc. CurrentSince Jul 8, 2024 Accepting new patients

Locations

3522 Boulevard
Ste D
Colonial Heights, VA 23834
Phone (804) 613-6068

9201 Arboretum Pkwy
Ste 300
North Chesterfield, VA 23236
Phone (804) 520-4600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219536000000",
    "number": "1871740639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 TUSCOLA DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311306",
            "telephone_number": "804-425-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 TUSCOLA DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311306",
            "telephone_number": "804-425-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREBEE",
        "first_name": "TAMARA",
        "middle_name": "FANAE'-NICHOLSON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2008-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11865006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.