Individual provider Active NPI

Tara Marie Michalowski, M.A.

  • Marriage & Family Therapist
  • Algonquin, IL
National Provider Identifier
1033520333
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203549 Issued in TX
Practice address
530 Tenby Way
Algonquin, IL 60102-6501
Phone
(760) 405-6764
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.001272 IL
Marriage & Family Therapist 106H00000X LMFT100197 CA
Marriage & Family Therapist 106H00000X 203549 TX Primary

Addresses

Primary practice location

530 Tenby Way
Algonquin, IL 60102-6501

Mailing address

530 Tenby Way
Algonquin, IL 60102-6501
Phone (760) 405-6764

Other names 1

  • Tara Marie Ashford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250618000308 IL Practitioner - Marriage and Family Therapist 1355852195 Reassigns benefits to 1 organization
I20250618002474 TX Practitioner - Marriage and Family Therapist 1355852195 Reassigns benefits to 1 organization
I20250711002400 CA Practitioner - Marriage and Family Therapist 1355852195 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT100197CAMDMarriage & Family Therapist
166.001272ILMDMarriage & Family Therapist
203549TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Jun 11, 2025 Accepting new patients
Sondermind PC CurrentSince Jun 11, 2025 Accepting new patients
Cyti Health PC CurrentSince Apr 28, 2025 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1033520333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 TENBY WAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026501",
            "telephone_number": "760-405-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 TENBY WAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026501",
            "telephone_number": "760-405-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALOWSKI",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001272",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT100197",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ASHFORD",
            "middle_name": "MARIE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.