Active NPI
Tara Porcelli
- Addiction (Substance Use Disorder) Counselor
- Dayton, OH
National Provider Identifier
1285198770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 180186
- Practice address
- 2400 W Stroop Rd
Dayton, OH 45439-2041 - Phone
- (937) 701-7599
- Fax
- (937) 424-9692
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 180186 | OH | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2400 W Stroop Rd
Dayton, OH 45439-2041
Mailing address
136 E Beechwood Ave
Dayton, OH 45405-3130
Phone (937) 520-8149
Other practice location 1
605 S Patterson Blvd
Dayton, OH 45402-2649
Phone (937) 395-4600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tporcelli@tcadayton.org |
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 |
|---|---|---|---|
| 180186 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1285198770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 E BEECHWOOD AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454053130",
"telephone_number": "937-520-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W STROOP RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454392041",
"telephone_number": "937-701-7599",
"fax_number": "937-424-9692"
}
],
"practiceLocations": [
{
"address_1": "605 S Patterson Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454022649",
"country_code": "US",
"telephone_number": "937-395-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORCELLI",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2022-05-16",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "180186",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tporcelli@tcadayton.org",
"affiliation": "N",
"address_1": "605 S Patterson Blvd",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454022649",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.