Active NPI
Tara McGovern, LPCC
- Counselor
- Eagan, MN
National Provider Identifier
1578235974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCC.0017564
- Practice address
- 4660 Slater Rd Ste 120
Eagan, MN 55122-4048 - Phone
- (507) 481-3377
- Fax
- (612) 246-3682
- NPI assigned
- Oct 4, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCC.0017564 | CO | Primary |
Addresses
Primary practice location
4660 Slater Rd Ste 120
Eagan, MN 55122-4048
Mailing address
3629 Ashbury Rd
Eagan, MN 55122-1251
Phone (507) 481-3377
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0017564 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1578235974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 ASHBURY RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221251",
"telephone_number": "507-481-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 SLATER RD STE 120",
"city": "EAGAN",
"state": "MN",
"postal_code": "551224048",
"telephone_number": "507-481-3377",
"fax_number": "612-246-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "TARA",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPCC.0017564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.