Tammy J Parrigin, LPCC

Key facts

NPI

1962821660

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

103083 (KY)

Practice address

1025 S Main St
Monticello, KY 42633-2762

Phone

(606) 340-8870

Fax

(606) 340-8870

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Cumberland Family Medical Center Inc Federally Qualified Health Center (FQHC) · Burkesville, KY · NPI 1306873500
  Medicare reassignment NPD KY
• Cumberland Family Medical Center Inc Federally Qualified Health Center (FQHC) · Edmonton, KY · NPI 1548953672
  NPD
• Cumberland Family Medical Center Inc Federally Qualified Health Center (FQHC) · Somerset, KY · NPI 1902450752
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Tammy Jo Watters Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 30, 2022.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1962821660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332762",
            "telephone_number": "606-340-8870",
            "fax_number": "606-340-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIGIN",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100558620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "WATTERS",
            "middle_name": "JO",
            "credential": "LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Monticello, KY · Professional Counselor in Kentucky