Individual provider Active NPI

Cara H Tuley, PCC-S

  • Professional Counselor
  • Springboro, OH
National Provider Identifier
1396081915
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0007791.SUPV Issued in OH
Practice address
170 Heston Dr
Springboro, OH 45066-1025
Phone
(937) 823-7608
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0007791.SUPV OH Primary

Addresses

Primary practice location

170 Heston Dr
Springboro, OH 45066-1025

Mailing address

170 Heston Dr
Springboro, OH 45066-1025
Phone (937) 823-7608

Other names 1

  • Cara L Hennessey 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
E0007791.SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Ohio Virtual Counseling Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: caratuley@tdh.allscriptsdirect.net

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": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1396081915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HESTON DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661025",
            "telephone_number": "937-823-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HESTON DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661025",
            "telephone_number": "937-823-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULEY",
        "first_name": "CARA",
        "middle_name": "H",
        "credential": "PCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0007791.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "HENNESSEY",
            "middle_name": "L",
            "credential": "PCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.