MRS. TANYA LYNN ANN KINKEAD PLPC
NPI 1174374987
Counselor - Mental Health in Fredericktown, MO

Active since March 29, 2024
309 GARRETT ST, FREDERICKTOWN, MO 63645(573) 783-4104 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tanya Lynn Ann Kinkead Plpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TANYA LYNN ANN KINKEAD PLPC (NPI 1174374987) is an individual mental health provider in Fredericktown, Missouri, licensed in Missouri (2023050856) and active in the NPI registry since March 2024. She maintains a secondary practice location in Cape Girardeau.

NPPES Registry Identity

NPI1174374987
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TANYA LYNN ANN KINKEADCredential: PLPC
Location Address309 GARRETT STFredericktown, MO 63645-1084
Mailing Address402 S Silver Springs RdCape Girardeau, MO 63703-7536 · (573) 334-1100
Sole ProprietorNo
Enumeration DateMarch 29, 2024
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
NPI 1174374987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MO · 2023050856
309 GARRETT ST, Fredericktown, MO 63645

Other Names 1

Former Name (1)Tanya Lynn Ann Gabel

Secondary Practice Location 1

Location 1402 S Silver Springs RdCape Girardeau, MO 63703-7536 · Phone (573) 334-1100

Other Identifiers 1

Medicaid490139105MO

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Counselor (Professional)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Family Medicine
309 GARRETT ST
FREDERICKTOWN, MO 63645
Psychiatry & Neurology (Psychiatry)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Counselor (Professional)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Counselor
309 GARRETT ST
FREDERICKTOWN, MO 63645
Nurse Practitioner (Psychiatric/Mental Health)
309 GARRETT ST
FREDERICKTOWN, MO 63645

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 Tanya Kinkead's NPI number?

The NPI number for Tanya Kinkead is 1174374987. It was assigned to this individual provider in the NPPES registry on March 29, 2024. The provider is also known as Tanya Lynn Ann Gabel.

Where is Tanya Kinkead located?

Tanya Kinkead practices at 309 Garrett St, Fredericktown, MO 63645. The listed phone number is (573) 783-4104.

What is Tanya Kinkead's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tanya Kinkead was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.