MS. TAMMY CUPP LPCC LICDC NPI 1285045203

NPI Information

NPI: 1285045203
Provider Name: MS. TAMMY CUPP, LPCC, LICDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
433 W HIGH ST
BRYAN, OH
ZIP 43506
Phone: (419) 636-1131
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MS. Tammy Cupp, LPCC, LICDC is a professional counselor in Bryan, OH. MS. Tammy Cupp, LPCC, LICDC NPI is 1285045203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

433 W HIGH ST
BRYAN, OH
ZIP 43506-690
Phone: (419) 636-1131
Fax: (419) 636-3100

The enumeration date for this NPI number is 5/13/2014 and was last updated on 3/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	161426	OHIO	No
2	101YP2500X	Counselor	Professional	E170024	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0183607	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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