TAMMY ALTENBAUMER (LPC) – Professional Counselor, NPI 1275769903

TAMMY ALTENBAUMER (LPC) is a healthcare provider. based in Texarkana, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. P1402013 (AR). The NPI Number for TAMMY ALTENBAUMER (LPC) is 1275769903

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY ALTENBAUMER (LPC)
NPI
1275769903
Phone
(870) 773-4655
Address
2904 Arkansas Blvd
Enumeration Date
9 June 2009
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8703309200
Graduation Year
2009 (17 years ago)
PAC ID
0840649570
Group Practice PAC ID
8820038565
Professional Enrollment ID
I20231206004211
Address ID
AR718541509TE4077XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

Provider Addresses for TAMMY ALTENBAUMER (LPC)

  • 2904 Arkansas Blvd

    Texarkana, AR 718542536

    Phone: (870) 773-4655

    Type: Location

  • 1312 W Collin Raye Dr

    DE Queen, AR 71832

    Phone: (903) 280-1257

    Type: Location

  • 1205 E 35th St

    Texarkana, AR 718542746

    Phone: (870) 216-0080

    Fax: (870) 216-0096

    Type: Location

  • 4077, Jefferson Avenue, Texarkana, Miller County, Arkansas, 71854, United States

    TEXARKANA, AR 71854

    Phone: (870) 330-9200

    Fax: (870) 330-9439

    Type: Location

  • Marshall Post Office, West Main Street, Marshall, Searcy County, Arkansas, 72650, United States

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231206004211IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71854)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820038565View full group profile
NameSpecialtyState
-TX
O B S T E T R I C S/ G Y N E C O L O G YLA
Family PracticeTX
Nurse PractitionerAR
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Mental Health CounselorAR

Reviews

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Frequently asked questions

Does TAMMY ALTENBAUMER (LPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TAMMY ALTENBAUMER (LPC) uses 1275769903.
Does the file indicate TAMMY ALTENBAUMER (LPC) is practicing under active NPI?
Directory data currently reports TAMMY ALTENBAUMER (LPC) as active.
What is TAMMY ALTENBAUMER (LPC) best known for clinically?
Directory data describes TAMMY ALTENBAUMER (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for TAMMY ALTENBAUMER (LPC)?
TAMMY ALTENBAUMER (LPC)'s geographic hint is Texarkana, Arkansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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