Individual provider Active NPI

Tara Coker Devine, LPC-S, LMFT-S, LCDC

  • Mental Health Counselor
  • Sugar Land, TX
National Provider Identifier
1508886276
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
62839 Issued in TX
Practice address
4771 Sweetwater Blvd
No. 173
Sugar Land, TX 77479-3121
Phone
(281) 881-6877
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 62839 TX Primary
Marriage & Family Therapist 106H00000X 201273 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 10528 TX

Addresses

Primary practice location

4771 Sweetwater Blvd
No. 173
Sugar Land, TX 77479-3121

Mailing address

2003 Ralston Branch Way
Sugar Land, TX 77479-4434

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
62839TXMDMental Health Counselor
201273TXMDMarriage & Family Therapist
10528TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodevelopment Center of Greater Houston Mental Health Current 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1508886276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 RALSTON BRANCH WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 SWEETWATER BLVD",
            "address_2": "NO. 173",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793121",
            "telephone_number": "281-881-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "TARA",
        "middle_name": "COKER",
        "name_prefix": "Dr.",
        "credential": "LPC-S, LMFT-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62839",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201273",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.