Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285045203 Individual Practitioner Female Practitioner

Tammy Cupp , LPCC, LICDC

Counselor - Professional • Bryan, OH

Professional Overview & Biography Verified Profile Summary

Tammy Cupp, LPCC, LICDC is a registered healthcare professional specializing in Counselor - Professional in Bryan, OH. Practice services are available at 433 W HIGH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

433 W High St

Bryan, OH 435061690

Telephone 4196361131
Fax 4196363100
Associated Practice Facility / Clinic
🏢 Pro Rad, Inc Facility NPI 1962470484

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bryan, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Bryan, OH (6923 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E170024

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH 161426

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0183607 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Jennifer Witte , SLP

Speech-Language Pathologist

NPI 1003334178

Speech-Language Pathologist

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

Larry Pickett , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063413813

Certified Registered Nurse Anesthetist

Dr. Darren Chao , MD

Radiology - Diagnostic Radiology

NPI 1063480663

Doctor of Medicine (M.D.)

Nicole Pothast , MSN, CNM

Advanced Practice Midwife

NPI 1104376219

Master of Science in Nursing, Certified Nurse Midwife

Career & Practice History Timeline

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

14 Historical Events
NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2017

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

📍
Updated Business Mailing Address March 30, 2017

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

👤
Provider Name / Credentials Updated March 30, 2017

Recorded as TAMMY CUPP, LPCC, LICDC

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

Counselor (License #161426 in OH)

📍
Updated Business Mailing Address February 17, 2017

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

👤
Provider Name / Credentials Updated February 17, 2017

Recorded as TAMMY CUPP, LPCC

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

Counselor (License #151025 in OH)

NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2014

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

📍
Updated Business Mailing Address May 13, 2014

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

👤
Provider Name / Credentials Updated May 13, 2014

Recorded as TAMMY DEGRYSE, LPC

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

Counselor (License #C1300611 in OH)

🟢
Initial NPI Registration & Enumeration May 13, 2014

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: 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

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.