Active NPI
Tara M Watkins, Ma, LPC, LLC
- Community/Behavioral Health Agency
- Clarks Summit, PA
National Provider Identifier
1679903363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PC006468
- Legal business name
- TARA M WATKINS, MA, LPC, LLC
- Practice address
- 231 Northern Boulevard
Suite a
Clarks Summit, PA 18411-9189 - Phone
- (570) 766-9970
- NPI assigned
- Nov 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Marie Watkins, MA, LPC, LLC
- Title
- Owner
- Phone
- (570) 766-9970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PC006468 | PA | Primary |
Addresses
Primary practice location
231 Northern Boulevard
Suite a
Clarks Summit, PA 18411-9189
Mailing address
211 Simpson St
Eynon, PA 18403-1219
Phone (570) 766-9970
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1679903363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SIMPSON ST",
"city": "EYNON",
"state": "PA",
"postal_code": "184031219",
"telephone_number": "570-766-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 NORTHERN BOULEVARD",
"address_2": "SUITE A",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184119189",
"telephone_number": "570-766-9970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA M WATKINS, MA, LPC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-18",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-766-9970",
"authorized_official_credential": "MA, LPC, LLC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "PC006468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.