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CHARLES H TATUM PHD
NPI 1851317895
Counselor - Professional in San Antonio, TX

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
12050 VANCE JACKSON RD., BLDG. 2 SUITE 201, SAN ANTONIO, TX 78230(210) 699-8881(210) 699-0503 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Jan 29, 2019 (2 updates tracked since 2019).

About Charles H Tatum Phd NPPES

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

CHARLES H TATUM PHD (NPI 1851317895) is an individual professional provider in San Antonio, Texas, licensed in Texas (8835) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1851317895
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES H TATUMCredential: PHD
Location Address12050 VANCE JACKSON RD., BLDG. 2 SUITE 201San Antonio, TX 78230-1183
Mailing Address12050 Vance Jackson Rd, Bldg 2 Ste 201San Antonio, TX 78230-1183 · (210) 699-8881 · Fax (210) 699-0503
Phone(210) 699-8881
Fax(210) 699-0503
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1851317895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 8835
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 10968 (TX)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1884 (TX)
12050 VANCE JACKSON RD., San Antonio, TX 78230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles H Tatum Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315387693
PECOS Enrollment IDI20240503000635
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Charles Tatum's NPI number?

The NPI number for Charles Tatum is 1851317895. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Charles Tatum located?

Charles Tatum practices at 12050 Vance Jackson Rd. Bldg. 2 Suite 201, San Antonio, TX 78230. The listed phone number is (210) 699-8881.

What is Charles Tatum's specialty?

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

Is Charles Tatum enrolled in Medicare?

Yes. Charles Tatum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Tatum accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan, UnitedHealthcare and WellPoint list Charles Tatum 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 Charles Tatum was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.