Individual provider Active NPI

Tara Eileen McGrath, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1326120916
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52963 Issued in CA
Practice address
591 Camino de la Reina Ste 210
San Diego, CA 92108-3104
Phone
(619) 206-5271
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 54570 CA
Marriage & Family Therapist 106H00000X 52963 CA Primary

Addresses

Primary practice location

591 Camino de la Reina Ste 210
San Diego, CA 92108-3104

Mailing address

591 Camino de la Reina Ste 210
San Diego, CA 92108-3104

Other practice location 1

10717 Camino Ruiz Ste 207
San Diego, CA 92126-2364
Phone (858) 695-2211

Other names 1

  • Tara Eileen Kelso Former name

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
52963CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Khachatryan Corporation, Licensed Professional Clinical Counselor CurrentSince Sep 23, 2021 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

591 Camino de la Reina
Ste 210
San Diego, CA 92108
Phone (619) 206-5271

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1326120916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083104",
            "telephone_number": "619-206-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10717 Camino Ruiz Ste 207",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262364",
            "country_code": "US",
            "telephone_number": "858-695-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "TARA",
        "middle_name": "EILEEN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "54570",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "KELSO",
            "middle_name": "EILEEN",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.