TANYA TANGUAY (NPI# 1750982823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750982823 |
| Entity Type | Individual |
| Full Name | TANYA TANGUAY |
| Practice Address |
3248 Vandever Ave Pekin IL 61554-6274 |
| Practice Telephone | 3093475522 |
| Mailing Telephone | 3093475522 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
31078 | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
180012940 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CADC | 31078 | 01 | |
| LCPC | 180012940 | 01 |
| Street Address |
3248 VANDEVER AVE |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-6274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588792 | Randall S Tennis | Counselor | 3248 Vandever Ave, Pekin, IL 61554 | 2006-04-18 |
| 1982205050 | Morgan Fulton-gorham | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1942801006 | Stacey Day | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1144821208 | Danny Roscoe Callahan | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1528669686 | Kathryn Dorsey Yesis | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1649871799 | Francis Joseph Zammuto | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1609476134 | Andrew Duckworth | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-26 |
| 1396344065 | Austin Lair | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-22 |
| 1396379970 | Taylor Harrison | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-02-24 |
| 1487288064 | Allison Park | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013306190 | Stacie Billingsley | Counselor | 2205 State St, Pekin, IL 61554-3936 | 2015-01-13 |
| 1275542417 | Kathleen Margaret Woolsey | Counselor | 110 N 5th St, Suite 208, Pekin, IL 61554-3363 | 2006-08-05 |
| 1568945061 | Allison Schieferle Uhlenbrock | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2018-09-11 |
| 1699253187 | Cody Maddock | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2018-08-06 |
| 1598258196 | Stephanie Suryk | Counselor | 2205 State St, Pekin, IL 61554-3936 | 2018-06-08 |
| 1356840755 | Jon Hamilton | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2018-02-12 |
| 1255877569 | Jody Howerter-zulawski | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2017-01-10 |
| 1629320676 | David Mingus | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2012-10-15 |
| 1649545963 | Lisa Rene Gentry | Counselor | 901 Broadway St, Pekin, IL 61554-4768 | 2012-03-20 |
| 1306098702 | Sarah G Paul | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2008-10-16 |
| Find all providers in PEKIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.