Tara Katchmark, MA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

306066 Issued in MN

Practice address

1420 W Saint Germain St Ste 105
Saint Cloud, MN 56301-4025

Phone

(320) 313-6116

Fax

(320) 314-1497

NPI assigned

Sep 10, 2021

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

Credentials

Master of Arts

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.

• Tara'S Consulting LLC

  • Addiction (Substance Use Disorder) Counselor
  • Saint Cloud, MN
  • NPI 1306629845
  NPD Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1457020604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W SAINT GERMAIN ST STE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W SAINT GERMAIN ST STE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014025",
            "telephone_number": "320-313-6116",
            "fax_number": "320-314-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHMARK",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "MA, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kasella, CMT
• Abdirashid Kassim
• Ashley Marie Kast, PA-C
• Rebecca Kastanek, APRN, CNP
• Kayla Kastner
• Crisanta Kathrein
• Kathryn Ann Katka, APRN, CNP
• Sakshi Kaul, M.D.
• Kawashaway Eyecare
• Brian Kay

• Addiction (Substance Use Disorder) Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.