Active NPIIndividual providerSole proprietor

Tazma Ahmed-Datta, LPC

Counselor, Mental Health in Portland, Oregon

NPI Number1295044147
Practice location
2006 SE Ankeny St, Portland, OR 97214-1622
Fax
—
Last updated
January 15, 2016

Tazma Ahmed-Datta, LPC is a Counselor, Mental Health based in Portland, OR. Tazma Ahmed-Datta, LPC holds the professional credentials of LPC. The NPI number for Tazma Ahmed-Datta, LPC is 1295044147. The current practice location address is 2006 SE Ankeny St, Portland, OR 97214-1622 and the office can be reached by phone at 503-766-8550. The NPI was assigned on September 27, 2010 and the record was last updated in NPPES on January 15, 2016.

●Provider Profile Details

NPI Number
1295044147
Provider Name
Tazma Ahmed-Datta
Credential
LPC
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
September 27, 2010
Last Update Date
January 15, 2016
NPI Status
Active

◉Business Practice Location Address

Address
2006 SE Ankeny St
Portland, OR 97214-1622
State
Oregon
ZIP
97214-1622
Country
US
Phone Number
503-766-8550

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✉Business Mailing Address

Address
2006 SE Ankeny St
Portland, OR 97214-1622
City
Portland
State
OR
ZIP
97214-1622
Phone Number
503-766-8550

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Tazma Ahmed-Datta, LPC?

The NPI number of Tazma Ahmed-Datta, LPC is 1295044147. It was assigned on September 27, 2010 and is currently active in the NPPES registry.

What is the specialty of Tazma Ahmed-Datta, LPC?

Tazma Ahmed-Datta, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Tazma Ahmed-Datta, LPC practice?

The practice location is 2006 SE Ankeny St, Portland, OR 97214-1622. The office can be reached at 503-766-8550 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295044147 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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