MR. TARIK IMMANUEL NCC, LPC/MHSP (TEMP)
NPI 1497626659
Counselor - Mental Health in Cordova, TN

Q: What is Tarik Immanuel's NPI number?

The NPI number for Tarik Immanuel is 1497626659. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Q: What is Tarik Immanuel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tarik Immanuel was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 12, 2025

293 S WALNUT BEND RD, CORDOVA, TN 38018(901) 206-5604 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Tarik Immanuel Ncc, Lpc/mhsp (temp) NPPES

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

MR. TARIK IMMANUEL NCC, LPC/MHSP (TEMP) (NPI 1497626659) is an individual mental health provider in Cordova, Tennessee, licensed in Tennessee (7963) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1497626659

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. TARIK IMMANUELCredential: NCC, LPC/MHSP (TEMP)

Location Address293 S WALNUT BEND RDCordova, TN 38018-7284

Mailing Address293 S Walnut Bend RdCordova, TN 38018-7284 · (901) 206-5604

Phone(901) 206-5604

Sole ProprietorNo

Enumeration DateSeptember 12, 2025

NPPES CertifiedSeptember 12, 2025

✔ NPI 1497626659 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 TN · 7963

293 S WALNUT BEND RD, Cordova, TN 38018

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Other Providers at the Same Location NPPES 3

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

MR. CHRISTOPHER IRVING MATHEWS JR. LCSW

Social Worker (Clinical)

293 S WALNUT BEND RD
CORDOVA, TN 38018

Shelby County (901) 206-5604

CANESHIA WOLOBAH LMSW

Social Worker

293 S WALNUT BEND RD
CORDOVA, TN 38018

Shelby County (901) 206-5604

EBONY MACK

Counselor (Professional)

293 S WALNUT BEND RD
CORDOVA, TN 38018

Shelby County (901) 206-5604

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 Tarik Immanuel's NPI number?

The NPI number for Tarik Immanuel is 1497626659. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Tarik Immanuel located?

Tarik Immanuel practices at 293 S Walnut Bend Rd, Cordova, TN 38018. The listed phone number is (901) 206-5604.

What is Tarik Immanuel'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 Tarik Immanuel was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.