Active NPI
Tarasha Robinson, LCPC, CCD, ICCC
- Counselor
- Beaumont, TX
National Provider Identifier
1427722008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1327 W Virginia
Beaumont, TX 77705-4922 - Phone
- (409) 202-3107
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 55693 | TX | |
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1327 W Virginia
Beaumont, TX 77705-4922
Mailing address
5635 Nicole LN
Beaumont, TX 77713-9580
Phone (972) 922-7588
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tarasha@wiseandrooted.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55693 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1427722008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 NICOLE LN",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777139580",
"telephone_number": "972-922-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 W VIRGINIA",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777054922",
"telephone_number": "409-202-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TARASHA",
"credential": "LCPC, CCD, ICCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "55693",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tarasha@wiseandrooted.com",
"affiliation": "N",
"address_1": "1327 W Virginia",
"city": "Beaumont",
"state": "TX",
"country_code": "US",
"postal_code": "777054922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaumont, TX
- Dawn E Robertson, M.D.
- Jackqueline L Robertson, AGACNP-BC
- Cruskaya Orualis Robinson
- James Carlton Robinson, MD
- Robert Obie Robinson, M.D.
- Mandy D Roccaforte, M.S. CCC-SLP
- Jeffrey Alan Roche, PHYSICAL THERAPIST
- Edward F Rod Jr., D.D.S.
- Sean Michael Roden, D.C., B.S., CCSP
- Myrna Cruz Roderick, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.