Individual provider Active NPI

Tara Tuttle, LMHC

  • Mental Health Counselor
  • Elkhart, IN
National Provider Identifier
1437419314
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003234A Issued in IN
Practice address
401 W Bristol St
Elkhart, IN 46514-3019
Phone
(574) 402-1400
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003234A IN Primary

Addresses

Primary practice location

401 W Bristol St
Elkhart, IN 46514-3019

Mailing address

1928 Homewood Ave
Mishawaka, IN 46544-2638
Phone (574) 387-7904

Other names 1

  • Ms. Tara Stephens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Jul 31, 2024 through Jul 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39003234AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Firm Foundation Counseling LLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Samaritan Family Health and Counseling Center, Inc. PastSince Jul 1, 2024 Accepting new patients

Locations

401 W Bristol St
Elkhart, IN 46514
Phone (574) 328-8030

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1437419314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HOMEWOOD AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442638",
            "telephone_number": "574-387-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143019",
            "telephone_number": "574-402-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003234A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "STEPHENS",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.