Tara Moffat Pennington

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5250 S Commerce Dr
#250
Murray, UT 84107-7926

Phone

(801) 261-3500

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Project Connection Utah LLCGroup PAC ID 9234626268, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Project Connection Utah LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1366330656
  Medicare reassignment Care Compare group NPD
• Project Connection Utah

  dba Project Connection

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1104392802
  Medicare reassignment NPD
• Family Counseling Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Murray, UT
  • NPI 1083704597
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1184080244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 S COMMERCE DR",
            "address_2": "#250",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 S COMMERCE DR",
            "address_2": "#250",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077926",
            "telephone_number": "801-261-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "TARA",
        "middle_name": "MOFFAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Peirce, NP
• Peter C Pelegrin, MD
• Christina Marie Pelo, PA-C
• Ithan D Peltan, M.D.
• Tamsen Pena
• Joseph Pepek
• Mark Matthew Pepper, LCMHC
• Raul Alejandro Peragallo, MD
• Elayne Manuela Pereira, DPT
• Jose Perez Tamayo, M.D.

• Marriage & Family Therapist in Murray, UT
• Providers in Murray, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.