Katara Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098010 Issued in MI

Legal business name

KATARA THERAPY, LLC

Practice address

3665 S Lakeshore Dr
Saint Joseph, MI 49085-8277

Phone

(269) 993-0942

Fax

(888) 412-1492

NPI assigned

Feb 3, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Tara Elizabeth Bugg, LMSW

Title

Owner/Therapist

Phone

(269) 993-0942

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina Sternaman-Rosenbaum, LMSW

  • Clinical Social Worker
  • Paw Paw, MI
  • NPI 1982024311
  Medicare reassignment NPD
• Steven Jay Koster, COUNSELRO EDUC LTD

  • Professional Counselor
  • Hartford, MI
  • NPI 1164618195
  Medicare reassignment NPD (past)
• Kerrie Summerhill

  • Clinical Social Worker
  • South Haven, MI
  • NPI 1962109371
  Medicare reassignment NPD (past)
• Eliezer Joseph, MSW

  • Social Worker
  • South Haven, MI
  • NPI 1982937199

  Clinical

  NPD
• Kristine Elizabeth Gervasi, LLPC

  • Professional Counselor
  • Niles, MI
  • NPI 1538790910
  NPD (past)
• Lauren Strickland, LMSW

  • Clinical Social Worker
  • South Haven, MI
  • NPI 1346121076
  NPD (past)

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1295234490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13560 76TH ST STE 3",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909483",
            "telephone_number": "269-993-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 S LAKESHORE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858277",
            "telephone_number": "269-993-0942",
            "fax_number": "888-412-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATARA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-03",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "269-993-0942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098010",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi Marie Kalin, LLP
• Ruturaj Vijay Kanase, DO
• Blessing Kanyangarara, LLPC
• Karmen Industries LLC
• Gyl A. Kasewurm, AUD, FAAA
• Andrew Thomas Katovsich, MA, LLP
• Rebecca Bennett Katovsich, PHD, LLP, LMSW
• Zoey Elizabeth Kay, AGACNP
• Amer M. Kazi, M.D.
• Leah Ke, CERT. ACUPUNCTURIST

• Clinical Social Worker in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.