Tara P Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1110085 Issued in AR

Legal business name

TARA P THERAPY, PLLC

Practice address

128 Southwinds Rd Ste 5-6
Farmington, AR 72730-8652

Phone

(479) 267-6934

Fax

(866) 798-3345

NPI assigned

May 20, 2018

Last updated

May 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara Prestridge, LPCNPI 1346455169

Title

Owner

Phone

(870) 866-0681

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Lynn Thomasson Prestridge, LPC

  • Professional Counselor
  • Fayetteville, AR
  • NPI 1346455169
  NPD (past) Authorized official

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526774400000",
    "number": "1457842049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 N BEST FRIEND LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046520",
            "telephone_number": "870-866-0681",
            "fax_number": "866-798-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SOUTHWINDS RD STE 5-6",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308652",
            "telephone_number": "479-267-6934",
            "fax_number": "866-798-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA P THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-20",
        "last_updated": "2018-05-20",
        "status": "A",
        "authorized_official_last_name": "PRESTRIDGE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-866-0681",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1110085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Farmington, AR
• Providers in Farmington, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2018; 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.