Tara Reilley, LPC
Individual provider Active NPI Mental Health Counselor · Rigby, ID
NPI 1003604968 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1003604968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 130 N 1St W
Rigby, ID 83442-1377 - Phone
- (208) 351-5539
- NPI assigned
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Counseling Center | Current |
Accepting new patients |
Locations
130 N 1st W
Rigby, ID 83442
Phone (208) 351-5539
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
130 N 1St W
Rigby, ID 83442-1377
Mailing address
3794 E 400 N
Rigby, ID 83442-5432
Phone (208) 695-4740
Other providers in Rigby, ID
- RBTD
- RBTD Inc
- RBTD Incorporated
- Recovery Help, LLC
- Kathren Reese
- Robert Reneau
- Renew 4 Life LLC
- Renew 4 Life, LLC
- Stephen L. Richins
- Kody Ricks
All providers in Rigby, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.