Tara Dickherber, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2001022068 Issued in MO

Practice address

122 S 3Rd St
Louisiana, MO 63353-2060

Phone

(573) 754-0348

Fax

(573) 754-5895

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

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 1

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SSM Health Care St Louis

  dba SSM Health St Clare Fenton

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment Care Compare group NPD
• SSM Health Care St. Louis

  dba SSM Health DePaul Hospital

  • Cardiovascular Disease Physician
  • Bridgeton, MO
  • NPI 1376598599
  NPD
• Clarksville Chiropractic Center, PC

  dba Chiropractic Health Center

  • Chiropractor
  • Louisiana, MO
  • NPI 1538306642
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083704852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532060",
            "telephone_number": "573-754-0348",
            "fax_number": "573-754-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532060",
            "telephone_number": "573-754-0348",
            "fax_number": "573-754-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKHERBER",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2001022068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Chandler, APRN, FNP-BC
• Clarksville Chiropractic Center, PC (Chiropractic Health Center)
• Community Care Center of Louisiana, Inc (Maple Grove Lodge)
• Patrick Joseph Cuppy
• DBB Pharmacies, Inc (Best Buy Pharmacy of Louisiana)
• Michelle Drakesmith
• Edward a. Cline, DPM, PC
• Family Health Pharmacies Inc (Family Drug)
• Family Health Pharmacies, Inc. (Family Drug)
• Reed Frederick Flaherty, RPH

• Counselor in Louisiana, MO
• Providers in Louisiana, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.