Tara Marie Phillips

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1267406 Issued in CO

Practice address

1740 Chapel Hills Dr
Colorado Springs, CO 80920-5452

Phone

(719) 465-3695

NPI assigned

Jan 23, 2025

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

Other names 1

• Tara Marie Dieringer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1205648516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 GATEHOUSE CIR N APT 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042910",
            "telephone_number": "719-521-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 CHAPEL HILLS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205452",
            "telephone_number": "719-465-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "BACB1267406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "DIERINGER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Phillips
• Marc D Phillips, MPT
• Roddrick Phillips
• Sekina Lynette Phillips
• Stephanie Erin Phillips, MA, NCC, LPC
• Zoe Phillips
• Michael Philpott
• Sylvia Marie Philpy, NP
• Colleen Marie Phipps-Cochran, PSY.D, LPC
• Aimee Lyn Phipps, P.A.-C

• Behavior Technician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.