Active NPI
Tara Jerray Vargas-Tucker, MA, LPC
- Professional Counselor
- Mission, SD
National Provider Identifier
1104398718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC7267
- Practice address
- 101 Antelope Circle
Mission, SD 57555-5755 - Phone
- (605) 856-8239
- Fax
- (605) 856-8124
- NPI assigned
- Dec 20, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC7267 | SD | Primary |
Addresses
Primary practice location
101 Antelope Circle
Mission, SD 57555-5755
Mailing address
PO Box 105
Mission, SD 57555-0105
Phone (605) 856-8239
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC7267 | SD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1104398718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105",
"city": "MISSION",
"state": "SD",
"postal_code": "575550105",
"telephone_number": "605-856-8239",
"fax_number": "605-856-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ANTELOPE CIRCLE",
"city": "MISSION",
"state": "SD",
"postal_code": "575555755",
"telephone_number": "605-856-8239",
"fax_number": "605-856-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS-TUCKER",
"first_name": "TARA",
"middle_name": "JERRAY",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC7267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.