Active NPI
Tanya Renee Liquori, M.ED, LADC1, CCDP-D
- Addiction (Substance Use Disorder) Counselor
- Chicopee, MA
National Provider Identifier
1891816732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2149
- Practice address
- 628 Center St
Chicopee, MA 01013-1589 - Phone
- (413) 746-0051
- Fax
- (413) 746-0368
- NPI assigned
- Apr 2, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2149 | MA | Primary |
Addresses
Primary practice location
628 Center St
Chicopee, MA 01013-1589
Mailing address
628 Center St
Chicopee, MA 01013-1589
Phone (413) 746-0051
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2149 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians PC | Past | Accepting new patients | |
| Community Health Care, Inc. | Addiction (Substance Use Disorder) | 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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Westfield, MA
- NPI 1912980251
Addiction (Substance Use Disorder)
-
- Methadone Clinic
- Portland, ME
- NPI 1316242209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261785600000",
"number": "1891816732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 CENTER ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010131589",
"telephone_number": "413-746-0051",
"fax_number": "413-746-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 CENTER ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010131589",
"telephone_number": "413-746-0051",
"fax_number": "413-746-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIQUORI",
"first_name": "TANYA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "M.ED, LADC1, CCDP-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2009-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "2149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.