Individual provider Active NPI

Tara Kay Vazquez-Alarcon, PLDAC, SW

  • Addiction (Substance Use Disorder) Counselor
  • Hastings, NE
National Provider Identifier
1487351250
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
P1633 Issued in NE
Practice address
835 S Burlington Ave Ste 115
Hastings, NE 68901-6928
Phone
(402) 462-2066
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P1633 NE Primary
Social Worker 104100000X 3231 NE

Addresses

Primary practice location

835 S Burlington Ave Ste 115
Hastings, NE 68901-6928

Mailing address

1152 Renae LN
Hastings, NE 68901-6815
Phone (308) 750-3767

Other names 1

  • Tara Kay Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P1633NEMDAddiction (Substance Use Disorder) Counselor
3231NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Inc Addiction (Substance Use Disorder) PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1487351250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 RENAE LN",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016815",
            "telephone_number": "308-750-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S BURLINGTON AVE STE 115",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016928",
            "telephone_number": "402-462-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-ALARCON",
        "first_name": "TARA",
        "middle_name": "KAY",
        "credential": "PLDAC, SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P1633",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "3231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "WRIGHT",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.