Tara E. Bleakley, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4706 Issued in LA

Practice address

100 Innwood Dr Ste a
Covington, LA 70433-9255

Phone

(985) 400-9552

NPI assigned

Jun 6, 2013

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tara E. Lemon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bleakley Counseling LLC

  • Mental Health Counselor
  • Covington, LA
  • NPI 1427719632
  NPD Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1174961635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INNWOOD DR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339255",
            "telephone_number": "985-400-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INNWOOD DR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339255",
            "telephone_number": "985-400-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEAKLEY",
        "first_name": "TARA",
        "middle_name": "E.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4706",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "LEMON",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blake Thomas Blancher, MD
• Ricardo E. Blanco, M.D.
• Ashelie Blankenship, RSW
• Julie Blanton, PHARMD.
• Bleakley Counseling LLC
• Bloom & Bliss Counseling LLC
• Blue Shepherd Behavioral Supports, LLC
• Damara Malbrue Blue, LPC
• Bluebonnet Healthcare, Inc. (Family Home Health Agency)
• Pamela R Blundell, APRN, FNP-C

• Mental Health Counselor in Covington, LA
• Providers in Covington, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.