Active NPI
Brandi Alexis Tancemore, LCPC
- Counselor
- Baltimore, MD
National Provider Identifier
1992335533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10134
- Practice address
- 707 N. Broadway
Baltimore, MD 21205 - Phone
- (443) 923-9200
- NPI assigned
- Jan 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10134 | ||
| Counselor | 101Y00000X | 10134 | MD | Primary |
Addresses
Primary practice location
707 N. Broadway
Baltimore, MD 21205
Mailing address
1741 Ashland Ave
Baltimore, MD 21205
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 |
|---|---|---|---|
| 10134 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992335533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 ASHLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N. BROADWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21205",
"telephone_number": "443-923-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCEMORE",
"first_name": "BRANDI",
"middle_name": "ALEXIS",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "10134",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "10134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.