MRS. ELIZABETH A TATUM (NPI# 1770808511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770808511 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH A TATUM |
| Credential | MA, LPC |
| Practice Address |
610 W Peace St Raleigh NC 27605-1520 |
| Practice Telephone | 9194130367 |
| Mailing Telephone | 9194130367 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2011-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 7741 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1770808511 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932219789 | Elizabeth V Tatum | Marriage & Family Therapist | 9520 Soquel Drive, Suite C, Aptos, CA 95003 | 2006-08-30 |
| 1033778717 | Elizabeth Tatum | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2019-06-06 |
| 1164913653 | Elizabeth Tatum | Massage Therapist | 1107 S 347th Pl, Federal Way, WA 98003-6718 | 2018-05-21 |
| 1275031510 | Elizabeth Siria Tatum | Occupational Therapist | 447 Nw 73rd Ave, Plantation, FL 33317-1608 | 2018-01-31 |
| Street Address |
610 W PEACE ST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437343720 | Amy Harrell Mcmillan | Counselor | 610 W Peace St, Raleigh, NC 27605-1520 | 2007-08-30 |
| 1265819122 | Bright Heart Health, Inc | Clinic/Center | 610 W Peace St, Raleigh, NC 27605-1520 | 2015-04-29 |
| 1871996934 | Bethlyn Johnson | Counselor | 610 W Peace St, Raleigh, NC 27605-1520 | 2014-10-03 |
| 1770874281 | Amanda Rachel Jones | Social Worker | 610 W Peace St, Raleigh, NC 27605-1520 | 2011-05-02 |
| 1396058400 | Rachel Lynn Ford | Psychologist | 610 W Peace St, Raleigh, NC 27605-1520 | 2010-07-17 |
| 1689986309 | Eve Ellen Cribbs | Social Worker | 610 W Peace St, Raleigh, NC 27605 | 2010-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1568098903 | Mona Nour | Counselor | 11428 Royal Amber Way, Raleigh, NC 27614-9896 | 2020-03-17 |
| 1306305578 | Edmund Tayloe Buckman Iv | Counselor | 614 Capital Blvd Apt 213, Raleigh, NC 27603-1157 | 2019-03-18 |
| 1487127403 | Professional Counseling Associates of Cary | Counselor | 2207 Overflow Cir, Raleigh, NC 27610-5359 | 2019-01-03 |
| 1154896611 | Brittany Crystal Smith | Counselor | 6300 Lynn Crest Ln Apt 106, Raleigh, NC 27609-2873 | 2018-10-10 |
| 1942784079 | Maria Mccrimmon | Counselor | 2357 Bay Harbor Dr, Raleigh, NC 27604-4308 | 2018-09-25 |
| 1093220618 | Roxanne Rosenberg | Counselor | 4508 Olde Stream Ct, Raleigh, NC 27612-3641 | 2017-12-05 |
| 1396260089 | Christina Jones Parker | Counselor | 6604 Six Forks Rd Ste 202, Raleigh, NC 27615-6521 | 2017-08-03 |
| 1023532405 | Tykeena Lee Johnson | Counselor | 4210 Evans Dr, Raleigh, NC 27610-6757 | 2017-07-27 |
| 1144750563 | Esupport, Pllc | Counselor | 3901 Barrett Dr Ste 100, Raleigh, NC 27609-6523 | 2017-06-18 |
| Find all providers in RALEIGH | ||||
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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.