Tara A Myers, PSRS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

117 E Main St
Hugo, OK 74743-6237

Phone

(580) 326-7477

Fax

(580) 326-6400

NPI assigned

Mar 30, 2011

Last updated

Mar 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Providence Service Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hugo, OK
  • NPI 1164721056
  Authorized official Same address or phone

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1376832311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747436237",
            "telephone_number": "580-326-7477",
            "fax_number": "580-326-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747436237",
            "telephone_number": "580-326-7477",
            "fax_number": "580-326-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TARA",
        "middle_name": "A",
        "credential": "PSRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100750190",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Mitchell
• David Monds
• April Lily Morgan
• Felisha Morris
• Gannavarapu V Murty, M.D.
• Dana Nash
• Christopher Shane Nassar
• Mary Jane Noland, BA, BHRS, CBHCM-DC
• Gayla Norman
• Onboarding Made Easy, LLC (The Behavior Change)

• Counselor in Hugo, OK
• Providers in Hugo, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.