Individual provider Active NPI

Kristy Tarter, LPCC

  • Mental Health Counselor
  • Somerset, KY
National Provider Identifier
1316227408
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
241000 Issued in KY
Practice address
99 Office Park Dr
Somerset, KY 42501-4150
Phone
(606) 398-7000
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X KY-1249 KY
Mental Health Counselor 101YM0800X 241000 KY Primary

Addresses

Primary practice location

99 Office Park Dr
Somerset, KY 42501-4150

Mailing address

116 Buckhorn LN
Buckhorn, KY 41721-8987
Phone (606) 398-7000

Other practice location 1

201 E Mount Vernon St
Somerset, KY 42501-1412
Phone (606) 451-9379

Other identifiers 1

IdentifierTypeStateIssuer
7100740540MedicaidKY

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

LicenseStateTypeSpecialty
KY-1249KYMDCounselor
241000KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Preferred Care, Inc. Past Accepting new patients
Presbyterian Child Welfare Agency PastSince Jun 6, 2021 Accepting new patients

Organizations & group practices 2

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1316227408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BUCKHORN LN",
            "city": "BUCKHORN",
            "state": "KY",
            "postal_code": "417218987",
            "telephone_number": "606-398-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OFFICE PARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014150",
            "telephone_number": "606-398-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Mount Vernon St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425011412",
            "country_code": "US",
            "telephone_number": "606-451-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARTER",
        "first_name": "KRISTY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "KY-1249",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "241000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100740540",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.