Individual provider Active NPI

Tamera L Paul, LPCC

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1992882708
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E3741 Issued in OH
Practice address
2600 Tuscarawas St W
Suite 120
Canton, OH 44708-4644
Phone
(330) 452-7694
Fax
(330) 452-7795
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E3741 OH Primary

Addresses

Primary practice location

2600 Tuscarawas St W
Suite 120
Canton, OH 44708-4644

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 833-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203003652 DE Practitioner - Mental Health Counselor 1355871575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Mind Counseling Services, LLC 13 clinicians

Practice addresses (Care Compare)

610 Marshall St
Milford, DE 19963-2308
Phone (302) 359-3734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3741OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mind Counseling Services, LLC CurrentSince Jan 15, 2025 Accepting new patients
Ohio Physician Professional Corporation Current Accepting new patients
S Zaidi MD and Associates Inc PastSince Aug 1, 2000 Accepting new patients
Aultman Hospital Past Accepting new patients

Locations

610 Marshall St
Milford, DE 19963
Phone (302) 359-3734

Interoperability endpoints

  • Direct secure messaging: tamera.paul@direct.aultman.org

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1992882708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-833-5530",
            "fax_number": "330-833-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 120",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-452-7694",
            "fax_number": "330-452-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "TAMERA",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.