TENDRA STATOM M.ED., LPC, NCC
NPI 1396330536
Counselor - Professional in Augusta, GA

Q: What is Tendra Statom's NPI number?

The NPI number for Tendra Statom is 1396330536. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Q: What is Tendra Statom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Tendra Statom was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 09, 2021

3170 SKINNER MILL RD APT A6, AUGUSTA, GA 30909(706) 319-7144 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2022, Mar 2, 2022, Mar 9, 2021 (3 updates tracked since 2021).

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About Tendra Statom M.ed., Lpc, Ncc NPPES

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

TENDRA STATOM M.ED., LPC, NCC (NPI 1396330536) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC012156) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1396330536

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTENDRA STATOMCredential: M.ED., LPC, NCC

Location Address3170 SKINNER MILL RD APT A6Augusta, GA 30909-5030

Mailing Address3170 Skinner Mill RdAugusta, GA 30909-5012 · (706) 309-0800

Phone(706) 319-7144

Sole ProprietorNo

Enumeration DateMarch 9, 2021

Last NPPES UpdateJune 6, 20223 updates tracked since enumeration

NPPES CertifiedMay 30, 2022

✔ NPI 1396330536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in GA · LPC012156✔ Licensed in GA · APC006515

3170 SKINNER MILL RD APT A6, Augusta, GA 30909

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

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 Tendra Statom's NPI number?

The NPI number for Tendra Statom is 1396330536. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Tendra Statom located?

Tendra Statom practices at 3170 Skinner Mill Rd Apt A6, Augusta, GA 30909. The listed phone number is (706) 319-7144.

What is Tendra Statom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Tendra Statom accept?

Health plans from Providence Health Plan and UnitedHealthcare list Tendra Statom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tendra Statom was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.