Active NPI
Tamara Diane Ewert, LPC
- Mental Health Counselor
- Bossier City, LA
National Provider Identifier
1972946283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4830
- Practice address
- 2216 Washburn Way
Bossier City, LA 71111-5749 - Phone
- (318) 518-0487
- NPI assigned
- Apr 17, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4830 | LA | Primary |
Addresses
Primary practice location
2216 Washburn Way
Bossier City, LA 71111-5749
Mailing address
2216 Washburn Way
Bossier City, LA 71111-5749
Phone (318) 518-0487
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 |
|---|---|---|---|
| 4830 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1972946283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 WASHBURN WAY",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115749",
"telephone_number": "318-518-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2216 WASHBURN WAY",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115749",
"telephone_number": "318-518-0487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWERT",
"first_name": "TAMARA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "4830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries,Inc.
- Eyemart Express LLC
- Eyemart Express, LTD.
- Steve Ezeani, DPT
- Falling Angels Transport
- Feel Well Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.