Active NPI
Tara Lynn Harrison
- School Social Worker
- Ephraim, UT
National Provider Identifier
1619334273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 68 N 180 W
Ephraim, UT 84627-2130 - Phone
- (435) 283-9931
- Fax
- (435) 283-4920
- NPI assigned
- Jan 26, 2016
- Last updated
- Feb 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| School Social Worker | 1041S0200X | NU | Primary |
Addresses
Primary practice location
68 N 180 W
Ephraim, UT 84627-2130
Mailing address
164 N 200 E
Ephraim, UT 84627-1233
Phone (435) 851-4012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801104054 | Medicaid | UT |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Women's Empowemen Center Long Term 1 | Past | Accepting new patients | |
| Young Women's Empowerment Center Long Term 1 | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Ephraim, UT
- NPI 1447567672
-
- Mental Illness Community Based Residential Treatment Facility
- Ephraim, UT
- NPI 1699084566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1619334273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 N 200 E",
"city": "EPHRAIM",
"state": "UT",
"postal_code": "846271233",
"telephone_number": "435-851-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 N 180 W",
"city": "EPHRAIM",
"state": "UT",
"postal_code": "846272130",
"telephone_number": "435-283-9931",
"fax_number": "435-283-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "TARA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801104054",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ephraim, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.