Organization Active NPI

Tara M Watkins, Ma, LPC, LLC

  • Community/Behavioral Health Agency
  • Clarks Summit, PA
National Provider Identifier
1679903363
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC006468 Issued in PA
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

Updated by the provider on Jan 2, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.