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
- Last updated
- Jan 2, 2025
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Clarks Summit, PA
- NPI 1144574013
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.