Individual provider Active NPI

Tara Elisabeth Rollins, LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1558601476
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4978125 Issued in WI
Practice address
1842 Schlimgen Ave
Madison, WI 53704-3427
Phone
(309) 242-1557
NPI assigned
Mar 1, 2013
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4978125 WI Primary

Addresses

Primary practice location

1842 Schlimgen Ave
Madison, WI 53704-3427

Mailing address

1842 Schlimgen Ave
Madison, WI 53704-3427
Phone (309) 242-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628003167 WI Practitioner - Mental Health Counselor 9931541257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4978125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling & Wellness, LLC Professional CurrentSince Apr 10, 2024 Accepting new patients

Locations

1943 Winnebago St
Madison, WI 53704
Phone (608) 244-4859

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": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1558601476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 SCHLIMGEN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043427",
            "telephone_number": "309-242-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SCHLIMGEN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043427",
            "telephone_number": "309-242-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "TARA",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4978125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.