Active NPI 1396330536 Individual Practitioner Female Practitioner

Tendra Statom , MED, LPC, NCC

Counselor - Professional • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Tendra Statom, MED, LPC, NCC is a registered healthcare professional specializing in Counselor - Professional in Augusta, GA. Practice services are available at 3170 SKINNER MILL RD APT A6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3170 Skinner Mill Rd Apt A6

Augusta, GA 309095030

Telephone 7063197144

Associated Practice Facility / Clinic

🏢 Recalibrate & Elevate Counseling Services Llc Facility NPI 1164179800

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Augusta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.6 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

195 Specialists

Practicing in Augusta, GA (6655 Statewide)

Telehealth Adoption Rate

1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-30

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC012156

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License GA APC006515

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address June 06, 2022

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

📍

Updated Practice Location March 02, 2022

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

📍

Updated Business Mailing Address March 02, 2022

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

👤

Provider Name / Credentials Updated March 02, 2022

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

✅

NPI Profile Active March 09, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2021

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

📍

Updated Business Mailing Address March 09, 2021

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

👤

Provider Name / Credentials Updated March 09, 2021

Recorded as TENDRA STATOM

🎓

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

Counselor (License #APC006515 in GA)

🟢

Initial NPI Registration & Enumeration March 09, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Update or Correct Profile

Mailing Address

3170 Skinner Mill Rd

Augusta, GA 309095012

Phone: 7063090800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.