MRS. TAMMI RENEE IVY MRC, LPC
NPI 1104062868
Counselor - Professional in Cabot, AR
- Individual
- Female
- Counselor
- Professional
About TAMMI IVY
This page provides the complete NPI Profile along with additional information for Tammi Ivy, a provider established in Cabot, Arkansas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104062868 assigned on December 2008. The practitioner's primary taxonomy code is 101YP2500X with license number P0411049 (AR). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1104062868 Verify this NPI
- Provider Name
- MRS. TAMMI RENEE IVY MRC, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3358 SUITE D. S. 2ND STREET CABOT, AR 72023
- Location Phone
- (501) 286-6053
- Location Fax
- (870) 523-9301
- Mailing Address
- 620 EDWARDS ST NEWPORT, AR 72112
- Mailing Phone
- (870) 926-2840
- Mailing Fax
- (870) 523-9301
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-31-2008
- Last Update Date
- 02-21-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P0411049
- License State
- AR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 169387795 | MEDICAID (05) | AR |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104062868, enumerated as an "individual" on December 31, 2008.
The provider is located at 3358 SUITE D. S. 2ND STREET CABOT, AR 72023 and the phone number is (501) 286-6053.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
