Tara L. Fleck, LMLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1303 Issued in KS

Practice address

2711 S Rouse St Ste C&D
Pittsburg, KS 66762-6620

Phone

(620) 231-1068

Fax

(620) 231-2792

NPI assigned

Jan 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Crawford County Mental Health CenterGroup PAC ID 3072955616, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.fleck@khindirect.org

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

• Crawford County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburg, KS
  • NPI 1942064423
  Medicare reassignment Care Compare group NPD
• County of Crawford

  • Community/Behavioral Health Agency
  • Pittsburg, KS
  • NPI 1982486742
  NPD (past)
• Via Christi Home Health Pittsburg, LLC

  • Home Health Agency
  • Pittsburg, KS
  • NPI 1407874449
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1225275035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 S ROUSE ST STE C&D",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626620",
            "telephone_number": "620-231-1068",
            "fax_number": "620-231-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 S ROUSE ST STE C&D",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626620",
            "telephone_number": "620-231-1068",
            "fax_number": "620-231-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "TARA",
        "middle_name": "L.",
        "credential": "LMLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "1242",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Faubion, APRN
• John Felter
• Michael Sean Fenech, D.O.
• Mary Ruth Ferguson, ARNP
• Joseph Fisher
• Tiffany Nicole Fleeton, APRN
• Fort Scott Regional Dialysis Center, Inc.
• Ellen Foshag, LSCSW
• Kimberlyn S Fowler, RDH
• Christina Franklin

• Clinical Psychologist in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.