Active NPI
Tamera Chatburn, M ED
- Professional Counselor
- Burley, ID
National Provider Identifier
1932490984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-2895
- Practice address
- 531 East 5TH St.
Preferred Child and Family Services
Burley, ID 83318 - Phone
- (208) 678-9114
- NPI assigned
- Apr 26, 2011
- Last updated
- Apr 26, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-2895 | ID | Primary |
Addresses
Primary practice location
531 East 5TH St.
Preferred Child and Family Services
Burley, ID 83318
Mailing address
284 Martin St.
Preferred Child and Family Services
Twin Falls, ID 83301
Phone (208) 733-7186
Other names 1
- Tammy Chatburn
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 |
|---|---|---|---|
| LPC-2895 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1932490984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 MARTIN ST.",
"address_2": "PREFERRED CHILD AND FAMILY SERVICES",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "83301",
"telephone_number": "208-733-7186",
"fax_number": "208-733-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 EAST 5TH ST.",
"address_2": "PREFERRED CHILD AND FAMILY SERVICES",
"city": "BURLEY",
"state": "ID",
"postal_code": "83318",
"telephone_number": "208-678-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATBURN",
"first_name": "TAMERA",
"credential": "M ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-26",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-2895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "CHATBURN",
"credential": "M ED",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.