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Tammy Sue Wilson , LPC

Counselor - Professional β€’ Port Huron, MI

Active NPI 1265979355 Individual Practitioner Female Practitioner
Practice location in NPPES

3115 Lapeer Rd Ste A
Port Huron, MI 480607309

Call 8106371183 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

3115 Lapeer Rd Ste A

Port Huron, MI 480607309

Telephone 8106371183
Fax 8106371183
Organization at the Same NPPES Address or Phone
Tammy Sue Wilson Facility NPI 1174255830

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Marysville, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

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 Port Huron and Michigan

42 active clinicians are listed under Counselor - Professional with a practice address in Port Huron, MI (4,962 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

2.4% of these 42 clinicians have the CMS telehealth indicator.

14.3% of these 42 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: 2024-10-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MI 6401017239
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

626 Busha Hwy

Marysville, MI 480401310

Phone: 8106371183

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location October 21, 2024

Registered at 3115 LAPEER RD STE A, PORT HURON, MI 480607309 (Tel: 8106371183)

πŸ“
Updated Business Mailing Address October 21, 2024

Registered at 3115 LAPEER RD STE A, PORT HURON, MI 480607309 (Tel: 8106371183)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2024

Counselor

πŸ“
Updated Practice Location November 07, 2022

Registered at 626 BUSHA HWY, MARYSVILLE, MI 480401310 (Tel: 8106371183)

πŸ“
Updated Business Mailing Address November 07, 2022

Registered at 626 BUSHA HWY, MARYSVILLE, MI 480401310 (Tel: 8106371183)

πŸ‘€
Provider Name / Credentials Updated November 07, 2022

Recorded as TAMMY WILSON, LPC

βœ…
NPI Profile Active January 26, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 26, 2017

Registered at 1101 MILITARY ST, PORT HURON, MI 480605418 (Tel: 8109845575)

πŸ“
Business Mailing Address (Initial Record) January 26, 2017

Registered at 1101 MILITARY ST, PORT HURON, MI 480605418 (Tel: 8109845575)

πŸ‘€
Provider Name / Credentials (Initial Record) January 26, 2017

Recorded as TAMMY WILSON, LLPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Counselor (license number reported to NPPES: MI 6401015898)

🟒
Initial NPI Registration & Enumeration January 26, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265979355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2017
Last Update: October 21, 2024
Sole Proprietor: Yes

Mailing Address

3115 Lapeer Rd Ste A

Port Huron, MI 480607309

Phone: 8106371183

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.