Active NPI
Tara Portugais, LMSW
- Social Worker
- Meridian, ID
National Provider Identifier
1356227482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7871975
- Practice address
- 1792 E Grand Canyon Dr
Meridian, ID 83646-5245 - Phone
- (925) 548-9984
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 7871975 | ID | Primary |
| Mental Health Counselor | 101YM0800X | 7871975 | ID |
Addresses
Primary practice location
1792 E Grand Canyon Dr
Meridian, ID 83646-5245
Mailing address
1792 E Grand Canyon Dr
Meridian, ID 83646-5245
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 |
|---|---|---|---|
| 7871975 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Body & Mind Health Services, LLC | Mental Health | Current | Accepting new patients |
| True Path Therapy LLC | Social Worker | Current | Accepting new patients |
| A Body & Mind Health Services, LLC | Mental Health | Current | Accepting new patients |
Locations
148 S Cole Rd
Boise, ID 83709
Phone (208) 683-8320
509 S Middleton Rd
Ste 104
Middleton, ID 83644
Phone (208) 683-8320
213 N Main St
Ste 1B
Moscow, ID 83843
Phone (208) 683-8320
496 Shoup Ave W
Ste F
Twin Falls, ID 83301
Phone (208) 683-8320
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.
-
- Social Worker
- Garden City, ID
- NPI 1881547552
-
- Mental Health Counselor
- Boise, ID
- NPI 1326501305
-
- Mental Health Counselor
- Boise, ID
- NPI 1891396099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1356227482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 E GRAND CANYON DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836465245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 E GRAND CANYON DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836465245",
"telephone_number": "925-548-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTUGAIS",
"first_name": "TARA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "7871975",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "7871975",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.