Individual provider Active NPI

Tarra Clinefelter

  • Mental Health Counselor
  • Highlands Ranch, CO
National Provider Identifier
1497133755
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1714 Shea Center Dr Apt 101
Highlands Ranch, CO 80129-3524
Phone
(303) 797-9440
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1714 Shea Center Dr Apt 101
Highlands Ranch, CO 80129-3524

Mailing address

1714 Shea Center Dr Apt 101
Highlands Ranch, CO 80129-3524
Phone (303) 797-9440

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

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1497133755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 SHEA CENTER DR APT 101",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801293524",
            "telephone_number": "303-797-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SHEA CENTER DR APT 101",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801293524",
            "telephone_number": "303-797-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINEFELTER",
        "first_name": "TARRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.