Active NPI
Tara Cothren
- Professional Counselor
- Rustburg, VA
National Provider Identifier
1124568241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701006934
- Practice address
- 37 Village Hwy
Rustburg, VA 24588-4112 - Phone
- (434) 332-5149
- Fax
- (434) 485-8877
- NPI assigned
- Mar 8, 2017
- 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 | 0701006934 | VA | Primary |
Addresses
Primary practice location
37 Village Hwy
Rustburg, VA 24588-4112
Mailing address
3410 Oid Forest Road
Lynchburg, VA 24501
Phone (434) 455-5342
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 |
|---|---|---|---|
| 0701006934 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Behavioral Health | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Lynchburg, VA
- NPI 1871542340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1124568241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 OID FOREST ROAD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24501",
"telephone_number": "434-455-5342",
"fax_number": "434-485-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 VILLAGE HWY",
"city": "RUSTBURG",
"state": "VA",
"postal_code": "245884112",
"telephone_number": "434-332-5149",
"fax_number": "434-485-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTHREN",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rustburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.