Tara Shanett Mukoro, PHD, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

74850 Issued in TX

Practice address

5802 Sawmill Bend LN
Sugar Land, TX 77479-1261

Phone

(713) 884-7235

Fax

(281) 239-2838

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• TX HMO
• TX HMO D-SNP
• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment NPD
• Arat Counseling Services

  • Mental Health Counselor
  • Sugar Land, TX
  • NPI 1609332261
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1003323437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 SAWMILL BEND LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791261",
            "telephone_number": "713-884-7235",
            "fax_number": "281-239-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 SAWMILL BEND LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791261",
            "telephone_number": "713-884-7235",
            "fax_number": "281-239-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKORO",
        "first_name": "TARA",
        "middle_name": "SHANETT",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74850",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "74850",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehdi Muhammad, MD
• Leila Muhieddine, M.D
• Shama Mukhles, OTR
• Shruti Mukkamala, DMD
• Emmanuel Aghoghovwia Mukoro, PTA
• Vanessa Elizabeth Muldowney
• Nadir Mulla
• Jason Mullane
• Multi Medical Equipment and Supplies, LLC
• Anum Munaf

• Mental Health Counselor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.