Individual provider Active NPI

Tara Portugais, LMSW

  • Social Worker
  • Meridian, ID
National Provider Identifier
1356227482
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7871975 Issued in ID
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

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7871975 ID Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
7871975IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Body & Mind Health Services, LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients
True Path Therapy LLC Social Worker Current Accepting new patients
A Body & Mind Health Services, LLC Mental Health CurrentSince Aug 1, 2025 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.

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.

Verify at the official NPI Registry.