MRS. TAMMY NUNNALLY (M.S., L.P.C.) – Professional Counselor, NPI 1053789743

MRS. TAMMY NUNNALLY (M.S., L.P.C.) is a healthcare provider. based in Celina, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S., L.P.C.. They hold a License No. 3620 (OH). The NPI Number for MRS. TAMMY NUNNALLY (M.S., L.P.C.) is 1053789743

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMMY NUNNALLY (M.S., L.P.C.)
NPI
1053789743
Phone
(419) 586-3900
Address
316 W MARKET ST
Enumeration Date
11 September 2015
Last Update Date
11 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195863900
Graduation Year
2014 (12 years ago)
PAC ID
8628413986
Group Practice PAC ID
2567722838
Professional Enrollment ID
I20240227002552
Address ID
OH458222125CE316XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MRS. TAMMY NUNNALLY (M.S., L.P.C.)

  • 316 W MARKET ST

    COUNSELING & CONSULTING INC.

    CELINA, OH 458222125

    Phone: (419) 586-3900

    Fax: (419) 586-3338

    Mailing address matches the actual address.

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: 2024-02-27

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
I20240227002552IMental Health CounselorOHTBD

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 45822)

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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: 2567722838View full group profile
NameSpecialtyState
Clinical PsychologistOH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Does MRS. TAMMY NUNNALLY (M.S., L.P.C.) have a public NPI I can cite?
Public records show MRS. TAMMY NUNNALLY (M.S., L.P.C.) under NPI 1053789743.
Does the public listing show MRS. TAMMY NUNNALLY (M.S., L.P.C.) as active?
MRS. TAMMY NUNNALLY (M.S., L.P.C.)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. TAMMY NUNNALLY (M.S., L.P.C.) does?
Insurance directories may phrase it differently, but here MRS. TAMMY NUNNALLY (M.S., L.P.C.) maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. TAMMY NUNNALLY (M.S., L.P.C.)?
MRS. TAMMY NUNNALLY (M.S., L.P.C.) shows a connection to Celina, Ohio in registry-derived data.
Why is information missing for MRS. TAMMY NUNNALLY (M.S., L.P.C.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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