Michelle Tanner, LPC-S, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

74007 Issued in TX

Practice address

7021 Kewanee Ave BLDG 10
Lubbock, TX 79424-7048

Phone

(806) 319-7400

Fax

(806) 375-3222

NPI assigned

Jan 23, 2017

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 19, 2024 through Mar 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healingchoice Family Therapy, PLLC

  • Marriage & Family Therapist
  • Lubbock, TX
  • NPI 1376029355

  Professional

  NPD
• Healingchoice

  • Marriage & Family Therapist
  • Lubbock, TX
  • NPI 1083073241
  NPD (past)

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1881131332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE BLDG 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247048",
            "telephone_number": "806-319-7400",
            "fax_number": "806-375-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE BLDG 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247048",
            "telephone_number": "806-319-7400",
            "fax_number": "806-375-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "LPC-S, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Julius Deleon Tan, PT
• Kim Tang, RBT
• Robertson Forchika Tankam, PHARMD
• Bertrand Tankouo Sandjong, PH.D., D(ABMM)
• Marcus Tanner, PH.D., LMFT-S
• Stephen Blake Tanner, M.D.
• Kaiser Reni Tarafdar, MD
• Amber Elaine Tarango, APRN
• Michelle Leigh Tarango, RN
• James Tarbox, MD

• Mental Health Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.