Active NPI
Tara Elliot, M.A.
- Mental Health Counselor
- Reading, PA
National Provider Identifier
1174076830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 154 Skyline Dr
Reading, PA 19606-8531 - Phone
- (610) 780-5877
- Fax
- (844) 512-6985
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
154 Skyline Dr
Reading, PA 19606-8531
Mailing address
237 W Lancaster Ave
Shillington, PA 19607-1889
Phone (610) 780-5877
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1174076830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 W LANCASTER AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196071889",
"telephone_number": "610-780-5877",
"fax_number": "844-512-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 SKYLINE DR",
"city": "READING",
"state": "PA",
"postal_code": "196068531",
"telephone_number": "610-780-5877",
"fax_number": "844-512-6985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOT",
"first_name": "TARA",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.