Tara M. Ferguson, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

3945 Issued in NC

Practice address

5004 Oleander Dr
Wilmington, NC 28403-7015

Phone

(910) 805-3216

NPI assigned

Jun 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 12, 2019 through Jul 12, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Tara Ferguson, PHD, PC

  • Counseling Psychologist
  • Wilmington, NC
  • NPI 1144571639
  NPD (past) Authorized official

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1063648731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037015",
            "telephone_number": "910-805-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037015",
            "telephone_number": "910-805-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TARA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "3945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Fennell, DPT
• Megan Ashley Fentross, M.A.ED., LPCA
• Alison D Ferguson, LCSW
• Christen Ferguson
• Samantha Ferguson
• Isabel Fernandez Agramonte
• Keren Abigail Fernandez Cruz, RD
• Alyssa Fernandez, PT
• Joseph Fernandez
• Maria Alejandra Fernandez, LCSWA

• Counseling Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Counseling Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.