Colt Tanner, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2405988 Issued in OH

Practice address

8063 Washington Village Dr
Dayton, OH 45458-1847

Phone

(937) 294-6004

NPI assigned

May 28, 2024

Last updated

May 28, 2024By the provider in NPPES

Sex

Male

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

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.

• Marisa Borgert, Psy.D., LLC

  dba Empower psychology and wellness

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1780136267

  Mental Health

  NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1942040076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8063 WASHINGTON VILLAGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 WASHINGTON VILLAGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "937-294-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "COLT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2405988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Milind Tamhane
• Jennifer M Tandoc
• Vimal P Taneja, MD
• Bonnie Homan Tangeman, RPH
• Tricia Michel Tankersley, CDCA
• Thomas Tanner, M.D.
• Jessica Tapparo, APRN
• Tara Buchy LLC (Terracotta Counseling)
• Addison Reede Tarjanyi, D.O.
• Mary Tarlano, LSW

• Mental Health Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.