IndividualActive
Charles Tatum, PHD
NPI 1851317895 · Professional Counselor · San Antonio, TX
Provider details
- NPI number
- 1851317895
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1884 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12050 Vance Jackson Rd.
Bldg. 2 Suite 201
San Antonio, TX 78230-1183
Phone: (210) 699-8881
Fax: (210) 699-0503
Street-level locationGet directions
Mailing address
12050 Vance Jackson Rd
San Antonio, TX 78230-1183
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.