Active NPI
Tanya Vincent, LCPC
- Professional Counselor
- Clinton, MD
National Provider Identifier
1982171260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC9107
- Practice address
- 7105 Chickweed CT
Clinton, MD 20735-5856 - Phone
- (410) 893-4600
- Fax
- (443) 640-4358
- NPI assigned
- Oct 25, 2018
- Sex
- Female
- Sole proprietor
- No
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 | LC9107 | MD | Primary |
Addresses
Primary practice location
7105 Chickweed CT
Clinton, MD 20735-5856
Mailing address
7105 Chickweed CT
Clinton, MD 20735-5856
Phone (225) 636-0467
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 |
|---|---|---|---|
| LC9107 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Christian Counseling LLC | Professional | Past | Accepting new patients |
| Safe Harbor Behavioral Care, LLC | Professional | Past | Accepting new patients |
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": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1982171260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 CHICKWEED CT",
"city": "CLINTON",
"state": "MD",
"postal_code": "207355856",
"telephone_number": "225-636-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7105 CHICKWEED CT",
"city": "CLINTON",
"state": "MD",
"postal_code": "207355856",
"telephone_number": "410-893-4600",
"fax_number": "443-640-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "TANYA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC9107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.