Active NPI
Tara Hayes
- School Counselor
- Petaluma, CA
National Provider Identifier
1083578173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 230275001
- Practice address
- 845 Crinella Dr
Petaluma, CA 94954-4499 - Phone
- (707) 765-4321
- NPI assigned
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 230275001 | CA | Primary |
Addresses
Primary practice location
845 Crinella Dr
Petaluma, CA 94954-4499
Mailing address
1141 Mirabella Ave
Novato, CA 94945-3170
Phone (831) 521-3659
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 |
|---|---|---|---|
| 230275001 | CA | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Adobe Union Elementary School District | Current | Accepting new patients |
Locations
845 Crinella Dr
Petaluma, CA 94954
Phone (707) 765-4321
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Petaluma, CA
- NPI 1659406494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1083578173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 MIRABELLA AVE",
"city": "NOVATO",
"state": "CA",
"postal_code": "949453170",
"telephone_number": "831-521-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 CRINELLA DR",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949544499",
"telephone_number": "707-765-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "230275001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.