Individual provider Active NPI

Tara Frances Wilson

  • Mental Health Counselor
  • East Hampton, NY
National Provider Identifier
1487292249
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014841 Issued in NY
Practice address
287 Springs Fireplace Rd
East Hampton, NY 11937-4823
Phone
(631) 329-0373
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 014841 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

287 Springs Fireplace Rd
East Hampton, NY 11937-4823

Mailing address

287 Springs Fireplace Rd
East Hampton, NY 11937-4823
Phone (631) 329-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723004453 NY Practitioner - Mental Health Counselor 7517403751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Houses of Long Island IncGroup PAC ID 4880584101, 10 clinicians

Practice addresses (Care Compare)

287 Springs Fireplace Rd
East Hampton, NY 11937-4823
Phone (631) 329-0373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC CurrentSince Jul 15, 2024 Accepting new patients
Phoenix Houses of Long Island, Inc. CurrentSince Dec 22, 2025 Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Jul 15, 2024 Accepting new patients
Alanna a. Quinn CurrentSince Dec 22, 2025 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

287 Springs Fireplace Rd
East Hampton, NY 11937
Phone (631) 329-0373

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

220 Veterans Memorial Hwy
Hauppauge, NY 11788
Phone (631) 406-5518

100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

Organizations & group practices 4

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1487292249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 SPRINGS FIREPLACE RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374823",
            "telephone_number": "631-329-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 SPRINGS FIREPLACE RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374823",
            "telephone_number": "631-329-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TARA",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014841",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

Verify at the official NPI Registry.