Tara Yardley LPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2010021552 Issued in MO

Legal business name

TARA YARDLEY LPC LLC

Practice address

1133 W Main St
Suite 101
Blue Springs, MO 64015-3694

Phone

(816) 679-1524

NPI assigned

Dec 31, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Beth Yardley, LPCNPI 1326343179

Title

Owner

Phone

(816) 679-1524

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara B Yardley, LPC

  • Professional Counselor
  • Blue Springs, MO
  • NPI 1326343179
  Medicare reassignment NPD Authorized official
• Karen Sue Fox, LCSW

  • Clinical Social Worker
  • Independence, MO
  • NPI 1245376128
  NPD (past)

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1437495017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 E SHELEY RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522649",
            "telephone_number": "816-679-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153694",
            "telephone_number": "816-679-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA YARDLEY LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "YARDLEY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-679-1524",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010021552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153990",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Symphony Wellness LLC
• Synesis Therapy, LLC
• Jeff Masayoshi Tadokoro, LCSW
• Mohsen Tahani, MD
• Robert Tahani, DMD
• Sarah Elizabeth Taylor, PT
• Jacqueline D Tebeest, FNP
• Tiffany Marie Teegarden, DDS
• Kyle Temple, RPH
• Sandra Tharp

• Professional Counselor in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.