Active NPI
Tara Stroesenreuther
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1114383130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6805 Corporate Dr Ste 120
Colorado Springs, CO 80919-1977 - Phone
- (719) 733-3279
- NPI assigned
- Jan 6, 2016
- Last updated
- May 12, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6805 Corporate Dr Ste 120
Colorado Springs, CO 80919-1977
Mailing address
115 Higgins St
Boone, CO 81025-9737
Phone (719) 733-3279
Other practice location 1
243 E 400 S Ste 300
Salt Lake City, UT 84111-2858
Phone (801) 674-5352
Other names 1
- Tara Leigh Devries
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1114383130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HIGGINS ST",
"city": "BOONE",
"state": "CO",
"postal_code": "810259737",
"telephone_number": "719-733-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6805 CORPORATE DR STE 120",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191977",
"telephone_number": "719-733-3279"
}
],
"practiceLocations": [
{
"address_1": "243 E 400 S Ste 300",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841112858",
"country_code": "US",
"telephone_number": "801-674-5352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROESENREUTHER",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "DEVRIES",
"middle_name": "LEIGH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.