Active NPI
Tammy Lynn Frossard, LCPC
- Professional Counselor
- Machesney Park, IL
National Provider Identifier
1902037682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009276
- Practice address
- 4584 Meteor CT
Machesney Park, IL 61115-2247 - Phone
- (815) 985-6560
- Fax
- (815) 969-8871
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180009276 | IL | Primary |
Addresses
Primary practice location
4584 Meteor CT
Machesney Park, IL 61115-2247
Mailing address
4584 Meteor CT
Machesney Park, IL 61115-2247
Phone (815) 985-6560
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1902037682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4584 METEOR CT",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611152247",
"telephone_number": "815-985-6560",
"fax_number": "815-969-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4584 METEOR CT",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611152247",
"telephone_number": "815-985-6560",
"fax_number": "815-969-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROSSARD",
"first_name": "TAMMY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Machesney Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.