Organization Active NPI

Attuned Counseling and Trauma Therapy, LLC

  • Clinical Social Worker
  • Athens, PA
National Provider Identifier
1275101735
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ATTUNED COUNSELING AND TRAUMA THERAPY, LLC
Practice address
216 S Main St
Athens, PA 18810-1632
Phone
(223) 203-2692
NPI assigned
Jun 11, 2021
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Tara K Clark, LCSWNPI 1952710550
Title
Clinician/Founder
Phone
(223) 203-2692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

216 S Main St
Athens, PA 18810-1632

Mailing address

216 S Main St
Athens, PA 18810-1632

National Provider Directory

National Provider Directory

Locations

216 S Main St
Athens, PA 18810
Phone (570) 731-0497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1275101735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101632",
            "telephone_number": "223-203-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTUNED COUNSELING AND TRAUMA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICIAN/FOUNDER",
        "authorized_official_telephone_number": "223-203-2692",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.