Active NPI
Tara Cochran Grall, LPC, RPT
- Professional Counselor
- Iuka, MS
National Provider Identifier
1053597401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1586
- Practice address
- 8 Rebecca RDG
Iuka, MS 38852-6090 - Phone
- (309) 237-8280
- NPI assigned
- Jan 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2505974 | OH | |
| Professional Counselor | 101YP2500X | 3826 | AL | |
| Professional Counselor | 101YP2500X | TPMC5477 | FL | |
| Professional Counselor | 101YP2500X | 4456 | NE | |
| Mental Health Counselor | 101YM0800X | TPMC5477 | FL | |
| Mental Health Counselor | 101YM0800X | 3826 | AL | |
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 4456 | NE | |
| Professional Counselor | 101YP2500X | 1586 | MS | Primary |
| Mental Health Counselor | 101YM0800X | E.2505974 | OH |
Addresses
Primary practice location
8 Rebecca RDG
Iuka, MS 38852-6090
Mailing address
2500 W Higgins Rd
105
Hoffman Estates, IL 60169-7220
Phone (888) 870-1775
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC5477 | FL | MD | Mental Health Counselor |
| 1586 | MS | MD | Professional Counselor |
| E.2505974 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1053597401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W HIGGINS RD",
"address_2": "105",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601697220",
"telephone_number": "888-870-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 REBECCA RDG",
"city": "IUKA",
"state": "MS",
"postal_code": "388526090",
"telephone_number": "309-237-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRALL",
"first_name": "TARA",
"middle_name": "COCHRAN",
"name_prefix": "Mrs.",
"credential": "LPC, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2505974",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3826",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "TPMC5477",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "4456",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "TPMC5477",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "3826",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4456",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1586",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2505974",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.