Active NPI
Tara Beth Redepenning
- Mental Health Counselor
- Cambridge, MA
National Provider Identifier
1245513977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9482
- Practice address
- 213 Green St
Cambridge, MA 02139-4039 - Phone
- (310) 621-0010
- NPI assigned
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9482 | MA | Primary |
Addresses
Primary practice location
213 Green St
Cambridge, MA 02139-4039
Mailing address
213 Green St
Cambridge, MA 02139-4039
Phone (857) 209-8456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9482 | MA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1245513977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 GREEN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394039",
"telephone_number": "857-209-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 GREEN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394039",
"telephone_number": "310-621-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDEPENNING",
"first_name": "TARA",
"middle_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.