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Tendra Statom , MED, LPC, NCC

Counselor - Professional β€’ Augusta, GA

Active NPI 1396330536 Individual Practitioner Female Practitioner
Practice location in NPPES

3170 Skinner Mill Rd Apt A6
Augusta, GA 309095030

Call 7063197144 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3170 Skinner Mill Rd Apt A6

Augusta, GA 309095030

Telephone 7063197144
Organization at the Same NPPES Address or Phone
Recalibrate & Elevate Counseling Services Llc Facility NPI 1164179800

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Augusta and Georgia

186 active clinicians are listed under Counselor - Professional with a practice address in Augusta, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

1.6% of these 186 clinicians have the CMS telehealth indicator.

9.1% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC012156
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA APC006515
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address June 06, 2022

Registered at 3170 SKINNER MILL RD, AUGUSTA, GA 309095012 (Tel: 7063090800)

πŸ“
Updated Practice Location March 02, 2022

Registered at 3170 SKINNER MILL RD APT A6, AUGUSTA, GA 309095030 (Tel: 7063197144)

πŸ“
Updated Business Mailing Address March 02, 2022

Registered at 3170 SKINNER MILL RD APT A6, AUGUSTA, GA 309095030 (Tel: 7063197144)

πŸ‘€
Provider Name / Credentials Updated March 02, 2022

Recorded as TENDRA STATOM, M.ED., LPC, NCC

βœ…
NPI Profile Active March 09, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2021

Registered at 4389 W MAYSFIELD DR STE 100, AUGUSTA, GA 309099648 (Tel: 7064962856)

πŸ“
Business Mailing Address (Initial Record) March 09, 2021

Registered at 237 PARK AVE SW STE 109, AIKEN, SC 298013995 (Tel: 7064962856)

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2021

Recorded as TENDRA STATOM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2021

Counselor (license number reported to NPPES: GA APC006515)

🟒
Initial NPI Registration & Enumeration March 09, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396330536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2021
Last Update: June 06, 2022
Sole Proprietor: No

Other Counselor - Professionals in Augusta

Healthcare providers in Augusta

Mailing Address

3170 Skinner Mill Rd

Augusta, GA 309095012

Phone: 7063090800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.