Active NPI
Tamara Harty, LPC
- Professional Counselor
- Bend, OR
National Provider Identifier
1497110423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5163
- Practice address
- 18602 Couch Market Rd
Bend, OR 97703-9148 - Phone
- (541) 815-0203
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R3925 | OR | |
| Professional Counselor | 101YP2500X | C5163 | OR | Primary |
Addresses
Primary practice location
18602 Couch Market Rd
Bend, OR 97703-9148
Mailing address
18602 Couch Market Rd
Bend, OR 97703-9148
Phone (541) 815-0203
Other practice location 1
60575 Billadeau Rd
C/O Healing Reins
Bend, OR 97702-9338
Phone (541) 382-9410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 14, 2024 through Mar 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5163 | OR | MD | Professional Counselor |
| R3925 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Through Horses LLC | Professional | Past | 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 and National Provider Directory roles.
-
- Professional Counselor
- Bend, OR
- NPI 1861059214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1497110423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18602 COUCH MARKET RD",
"city": "BEND",
"state": "OR",
"postal_code": "977039148",
"telephone_number": "541-815-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18602 COUCH MARKET RD",
"city": "BEND",
"state": "OR",
"postal_code": "977039148",
"telephone_number": "541-815-0203"
}
],
"practiceLocations": [
{
"address_1": "60575 Billadeau Rd",
"address_2": "C/O Healing Reins",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977029338",
"country_code": "US",
"telephone_number": "541-382-9410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTY",
"first_name": "TAMARA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R3925",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.