ANGELA TAMAYO LCSW
NPI 1144094350
Counselor - Mental Health in Jackson, TN
About Angela Tamayo Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA TAMAYO LCSW (NPI 1144094350) is an individual mental health provider in Jackson, Tennessee, licensed in Tennessee (12561) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Tamayo Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Angela Tamayo's NPI number?
The NPI number for Angela Tamayo is 1144094350. It was assigned to this individual provider in the NPPES registry on November 8, 2023.
Where is Angela Tamayo located?
Angela Tamayo practices at 146 Willow Branch Dr, Jackson, TN 38305. The listed phone number is (731) 217-4602.
What is Angela Tamayo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Angela Tamayo enrolled in Medicare?
Yes. Angela Tamayo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Angela Tamayo was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Angela Tamayo, LCSW · NPI 1144094350
Mental Health provider in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since November 8, 2023.
## Identity
- **NPI:** 1144094350 (Entity type: Individual)
- **Enumerated:** November 8, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12561 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 146 WILLOW BRANCH DR, Jackson, TN 38305-6624
- **Phone:** (731) 217-4602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1144094350) · Data from the CMS NPPES public registry.