Individual provider Active NPI

Tara Reed, M.A., NCC, LPC

  • Professional Counselor
  • Gillette, WY
National Provider Identifier
1053548370
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1642 Issued in WY
Practice address
1800 West 4-J Rd.
Gillette, WY 82718
Phone
(307) 682-5433
NPI assigned
Jun 12, 2009
Last updated
Feb 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1642 WY Primary

Addresses

Primary practice location

1800 West 4-J Rd.
Gillette, WY 82718

Mailing address

1800 West 4-J Rd
Gillette, WY 82718-6656
Phone (307) 682-5433

Other practice location 1

1800 West 4J Rd
Gillette, WY 82718-6656
Phone (307) 682-5433

Other names 1

  • Tara Reed Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Counseling LLC CurrentSince Mar 4, 2021 Accepting new patients
Adonai Mental Health Services PastSince Aug 5, 2013 Accepting new patients
Counseling Connections, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1053548370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WEST 4-J RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186656",
            "telephone_number": "307-682-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WEST 4-J RD.",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82718",
            "telephone_number": "307-682-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 West 4J Rd",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827186656",
            "country_code": "US",
            "telephone_number": "307-682-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "TARA",
        "credential": "M.A., NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "REED",
            "credential": "MA, NCC, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.