Tara Dorman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-23302 Issued in AZ

Practice address

34975 N North Valley Pkwy BLDG 8
Phoenix, AZ 85086-4028

Phone

(623) 853-6901

NPI assigned

Aug 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christian Counseling Care, PLLC.

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1437074168
  NPD (past) Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1396578209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30914 N 138TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853838031",
            "telephone_number": "623-853-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34975 N NORTH VALLEY PKWY BLDG 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864028",
            "telephone_number": "623-853-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 E Vista Bonita Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554252",
            "country_code": "US",
            "telephone_number": "623-853-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "TARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-23302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estelle M Doris, FNP-C
• Jacqueline I. Doris, M.D.
• James F Doris, MD
• Angelique Renee Dorman, PT
• Jennifer Dorman, LAC-T
• Blair Dorn, PA-C
• Anca Doros, FNP-BC
• Kendall Lyn Dorr, RN
• Terry W Dorr, PNP
• Jessica Ashley Dorrance, MSW

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.