Active NPI
Diane W. Tatem, L.P.C.
- Professional Counselor
- El Paso, TX
National Provider Identifier
1962411546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5647
- Practice address
- 4141 Pinnacle St
Suite 218
El Paso, TX 79902-1059 - Phone
- (915) 544-5020
- Fax
- (914) 544-5020
- NPI assigned
- Aug 5, 2006
- 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 | 5647 | TX | Primary |
Addresses
Primary practice location
4141 Pinnacle St
Suite 218
El Paso, TX 79902-1059
Mailing address
6020 Torrey Pines Dr
El Paso, TX 79912-2030
Phone (915) 433-5034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2474LC | Other | TX | BCBS PROVIDER NO. |
| 35503 | Other | TX | MAGELLAN PROVDER NO. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5647 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962411546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 TORREY PINES DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799122030",
"telephone_number": "915-433-5034",
"fax_number": "915-584-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 PINNACLE ST",
"address_2": "SUITE 218",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021059",
"telephone_number": "915-544-5020",
"fax_number": "914-544-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATEM",
"first_name": "DIANE",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "5647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO.",
"identifier": "2474LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVDER NO.",
"identifier": "35503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.