Individual provider Active NPI

Jenny Rebecca Tart

  • Professional Counselor
  • Cary, NC
National Provider Identifier
1316037377
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5470 Issued in NC
Practice address
1140 Kildaire Farm Road
Suite 200, Room 3
Cary, NC 27511
Phone
(919) 589-3650
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5470 NC
Professional Counselor 101YP2500X 5470 NC Primary

Addresses

Primary practice location

1140 Kildaire Farm Road
Suite 200, Room 3
Cary, NC 27511

Mailing address

2706 Van Dyke Ave
Raleigh, NC 27607-7147
Phone (919) 589-3650

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services, Inc Past Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Mental Health PastSince Jul 29, 2013 Accepting new patients
Carolina Behavioral Care, P.a. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1316037377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 VAN DYKE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077147",
            "telephone_number": "919-589-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM ROAD",
            "address_2": "SUITE 200, ROOM 3",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-589-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TART",
        "first_name": "JENNY",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5470",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.