Individual provider Active NPI

Tara Michelle Parkhurst, LCSW

  • Clinical Social Worker
  • Sedalia, MO
National Provider Identifier
1427090380
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004033738 Issued in MO
Practice address
121 E Broadway Blvd Ste 107
Sedalia, MO 65301-5800
Phone
(573) 268-4419
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2004033738 MO Primary

Addresses

Primary practice location

121 E Broadway Blvd Ste 107
Sedalia, MO 65301-5800

Mailing address

20250 Sadie LN
Sedalia, MO 65301-1515
Phone (573) 268-4419

Other practice location 1

1721 S Ingram Ave
Sedalia, MO 65301-7535
Phone (660) 827-9875

Other names 1

  • Tara Michelle Brown Parkhurst Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140411000531 MO Practitioner - Clinical Social Worker 9931331618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 E Broadway Blvd
Suite 108
Sedalia, MO 65301-5800
Phone (573) 268-4419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004033738MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sedalia Wellness Center, LLC Clinical CurrentSince Jan 6, 2014 Accepting new patients
Community Counseling Services Past Accepting new patients

Locations

121 E Broadway Blvd
Ste 108
Sedalia, MO 65301
Phone (573) 268-4419

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1427090380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20250 SADIE LN",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653011515",
            "telephone_number": "573-268-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BROADWAY BLVD STE 107",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015800",
            "telephone_number": "573-268-4419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 S Ingram Ave",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653017535",
            "country_code": "US",
            "telephone_number": "660-827-9875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "TARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004033738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BROWN PARKHURST",
            "middle_name": "MICHELLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.