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Tammy Cupp , LPCC, LICDC

Counselor - Professional β€’ Bryan, OH

Active NPI 1285045203 Individual Practitioner Female Practitioner
Practice location in NPPES

433 W High St
Bryan, OH 435061690

Call 4196361131 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

433 W High St

Bryan, OH 435061690

Telephone 4196361131
Fax 4196363100
Organization at the Same NPPES Address or Phone
Pro Rad, Inc Facility NPI 1962470484

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

NPI first issued

2014

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 Bryan and Ohio

4 active clinicians are listed under Counselor - Professional with a practice address in Bryan, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E170024
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH 161426
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: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0183607 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
Dr. Mahmoud Afifi , MD

Internal Medicine - Hematology & Oncology

NPI 1699701110

Doctor of Medicine (M.D.)

Dr. Fatmah Albaaj , MD

Family Medicine

NPI 1023373081

Doctor of Medicine (M.D.)

Caitlin Armstrong , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053884585

Certified Registered Nurse Anesthetist

Dr. Richard Baldwin , MD

Emergency Medicine

NPI 1174561963

Doctor of Medicine (M.D.)

Dr. Steven Bumb , MD

Internal Medicine

NPI 1972611333

Doctor of Medicine (M.D.)

Dr. John Ewonus , DO

Radiology - Diagnostic Radiology

NPI 1437127040

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events
βœ…
NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 30, 2017

Registered at 433 W HIGH ST, BRYAN, OH 435061690 (Tel: 4196361131)

πŸ“
Updated Business Mailing Address March 30, 2017

Registered at PO BOX 182, BLAKESLEE, OH 435050182 (Tel: 4196337489)

πŸ‘€
Provider Name / Credentials Updated March 30, 2017

Recorded as TAMMY CUPP, LPCC, LICDC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Counselor (license number reported to NPPES: OH 161426)

πŸ“
Updated Business Mailing Address February 17, 2017

Registered at PO BOX 182, BLAKESLEE, OH 435050182 (Tel: 4196337489)

πŸ‘€
Provider Name / Credentials Updated February 17, 2017

Recorded as TAMMY CUPP, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2017

Counselor (license number reported to NPPES: OH 151025)

βœ…
NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 13, 2014

Registered at 433 W HIGH ST, BRYAN, OH 435061690 (Tel: 4196361131)

πŸ“
Business Mailing Address (Initial Record) May 13, 2014

Registered at 206 W INDIANA ST, EDON, OH 435189625 (Tel: 4196337489)

πŸ‘€
Provider Name / Credentials (Initial Record) May 13, 2014

Recorded as TAMMY DEGRYSE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Counselor (license number reported to NPPES: OH C1300611)

🟒
Initial NPI Registration & Enumeration May 13, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285045203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2014
Last Update: March 30, 2017
Sole Proprietor: No

Mailing Address

Po Box 182

Blakeslee, OH 435050182

Phone: 4196337489

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.