| Ms Susan Ann Tangires, LCPC LCADC | |
|
800 Ingleside Ave, Catonsville, MD 21228-1722 | |
| (410) 744-5937 | |
| (410) 744-9423 |
| Full Name | Ms Susan Ann Tangires |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 800 Ingleside Ave, Catonsville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033171061 | NPI | - | NPPES |
| 0089 | Other | BS FEDERAL GROUP S003 | |
| 328196 | Other | MHN AND TRICARE | |
| 487506 | Other | VALUE OPTIONS GREAT WEST | |
| 11554503 | Other | CAQH | |
| 721298000 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 522229157 | Other | PHCS | |
| 2124028 | Other | MAMSI UNITED HEALTH CARE | |
| 333404000 | Medicaid | MD | |
| 7284589 | Other | AETNA BEHAVIORAL HEALTH | |
| 100072697 | Other | APS | |
| 63662901 | Other | MD | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA343 (Maryland) | Secondary |
| 101YP2500X | Counselor - Professional | LC1260 (Maryland) | Primary |
| Entity Name | Oasis The Mental Health Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174606057 PECOS PAC ID: 8527424837 Enrollment ID: O20230706003090 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Ann Tangires, LCPC LCADC 3134 Chatham Ct, Ellicott City, MD 21042-2410 Ph: (410) 465-8448 | Ms Susan Ann Tangires, LCPC LCADC 800 Ingleside Ave, Catonsville, MD 21228-1722 Ph: (410) 744-5937 |
Idania Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Mellor Ave, Catonsville, MD 21228 Phone: 410-788-5483 | |
Jadranka Milovanovic, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Rolling Rd, Catonsville, MD 21228 Phone: 410-788-0300 | |
Mr. Levern Clay Williams Jr., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Mellor Ave, Catonsville, MD 21228 Phone: 410-453-9553 | |
Erica Joy Thompson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Bloomsbury Ave, Catonsville, MD 21228 Phone: 443-612-1403 Fax: 443-830-1521 | |
Megan Branan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Rolling Rd, Catonsville, MD 21228 Phone: 410-788-0300 | |
Lauren Hughes Fiocco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5720 Executive Dr Ste 100-105, Catonsville, MD 21228 Phone: 410-780-5203 |