Individual provider Active NPI

Tamaria S Wade, M.ED, CSC, LPC

  • Mental Health Counselor
  • Spring, TX
National Provider Identifier
1952872053
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76723 Issued in TX
Practice address
2162 Spring Stuebner Rd Ste 140-1038
Spring, TX 77389-5298
Phone
(832) 786-9045
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X TX
Mental Health Counselor 101YM0800X 76723 TX Primary

Addresses

Primary practice location

2162 Spring Stuebner Rd Ste 140-1038
Spring, TX 77389-5298

Mailing address

2162 Spring Stuebner Rd Ste 140-1038
Spring, TX 77389-5298
Phone (832) 786-9045

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

LicenseStateTypeSpecialty
76723TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ready. Set. Goals. Counseling and Consulting LLC Mental Health CurrentSince Oct 2, 2022 Accepting new patients
Champions Christian Counseling Center L.L.C PastSince Jan 26, 2020 Accepting new patients

Locations

2162 Spring Stuebner Rd
Ste 1401038
Spring, TX 77389
Phone (601) 596-5489

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1952872053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 SPRING STUEBNER RD STE 140-1038",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895298",
            "telephone_number": "832-786-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 SPRING STUEBNER RD STE 140-1038",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895298",
            "telephone_number": "832-786-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TAMARIA",
        "middle_name": "S",
        "credential": "M.ED, CSC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.