Individual provider Active NPI

Tara A Smith, MA, LPC, CAADC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1184287864
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014224 Issued in PA
Practice address
559 Main St Ste 256
Bethlehem, PA 18018-5881
Phone
(484) 787-2207
Fax
(484) 222-4819
NPI assigned
Apr 17, 2019
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC014224 PA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

559 Main St Ste 256
Bethlehem, PA 18018-5881

Mailing address

559 Main St Ste 256
Bethlehem, PA 18018-5881
Phone (484) 787-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20241004003425 PA Practitioner - Mental Health Counselor 2961933668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

559 Main St
Suite 256
Bethlehem, PA 18018-5881
Phone (484) 505-8640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Lotus Counseling, LLC Professional CurrentSince Feb 21, 2025 Accepting new patients
Quaker State Medical Services Co Inc PastSince Sep 26, 2024 Accepting new patients

Locations

559 Main St
Ste 256
Bethlehem, PA 18018
Phone (484) 505-8640

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1184287864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MAIN ST STE 256",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185881",
            "telephone_number": "484-787-2207",
            "fax_number": "484-222-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 MAIN ST STE 256",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185881",
            "telephone_number": "484-787-2207",
            "fax_number": "484-222-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TARA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014224",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.