Individual provider Active NPI

Tamara Harty, LPC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1497110423
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5163 Issued in OR
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

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C5163ORMDProfessional Counselor
R3925ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.