Individual provider Active NPI

Tarnya Fegan, LCMHC, MLADC

  • Mental Health Counselor
  • Portsmouth, NH
National Provider Identifier
1669908877
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1127 Issued in NH
Practice address
2456 Lafayette Rd
Suite 12
Portsmouth, NH 03801-5624
Phone
(603) 498-6452
NPI assigned
May 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0994 NH
Mental Health Counselor 101YM0800X 1127 NH Primary

Addresses

Primary practice location

2456 Lafayette Rd
Suite 12
Portsmouth, NH 03801-5624

Mailing address

12 Ladyslipper LN
South Berwick, ME 03908-2205
Phone (603) 498-6452

Other names 1

  • Tarnya Miller Fegan Professional name

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
0994NHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1669908877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LADYSLIPPER LN",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039082205",
            "telephone_number": "603-498-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 LAFAYETTE RD",
            "address_2": "SUITE 12",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015624",
            "telephone_number": "603-498-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGAN",
        "first_name": "TARNYA",
        "credential": "LCMHC, MLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0994",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARNYA",
            "last_name": "MILLER FEGAN",
            "credential": "LCMHC, MLADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.