Jack Tanenbaum, LCSW

NPI: 1154419505

Jack Tanenbaum, LCSW

Q: What is Jack Tanenbaum's NPI number?

Jack Tanenbaum's NPI number is 1154419505, a unique 10-digit identifier issued by CMS.

Q: What does Jack Tanenbaum specialize in?

Jack Tanenbaum specializes in Mental Health Counselor, taxonomy code 101YM0800X.

Q: Where does Jack Tanenbaum practice?

Jack Tanenbaum practices in Lodi, CA 95242-3930.

Q: When was Jack Tanenbaum's NPI issued?

Jack Tanenbaum's NPI was issued on October 11, 2006.

Q: What is Jack Tanenbaum's provider type?

Jack Tanenbaum is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderMental Health Counselor

NPI issued: October 11, 2006

Quick Facts

NPI Number

1154419505

TypeIndividual

StatusActive

SpecialtyMental Health Counselor

Taxonomy101YM0800X — Mental Health Counselor

Phone

(916) 662-5947

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1154419505)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 11, 2006)

Data source: CMS NPPES

Provider Overview

JACK TANENBAUM, LCSW is a Mental Health Counselor provider based in Lodi, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1154419505

Provider TypeIndividual Provider

GenderMale

CredentialLCSW

StatusActive

Enumeration DateOctober 11, 2006

Practice Location

CityLodi

StateCA

ZIP Code95242-3930

Phone(916) 662-5947

Specialties & Licenses

★ Primary

SpecialtyMental Health Counselor

Taxonomy Code101YM0800X

License StateCA

Mailing Address

CityLodi

StateCA

ZIP Code95242-3930

Phone(916) 662-5947

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1154419505 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1154419505for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1154419505 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Mental Health Counselor

Mental Health Counselors diagnose and treat mental and emotional disorders, helping clients cope with life challenges, anxiety, depression, relationship issues, and overall mental wellness.

Browse all Mental Health Counselorproviders →

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Mental Health Counselor Providers in the US