Active NPI
Tara Mahaney, LLC
- Speech-Language Pathologist
- Lansing, MI
National Provider Identifier
1700223286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- TARA MAHANEY, LLC
- Practice address
- 616 S Creyts Rd Ste B
Lansing, MI 48917-8269 - Phone
- (517) 282-2281
- NPI assigned
- May 24, 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
- Ms. Tara Mahaney
- Title
- Owner
- Phone
- (517) 282-2281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
616 S Creyts Rd Ste B
Lansing, MI 48917-8269
Mailing address
616 S Creyts Rd Ste B
Lansing, MI 48917-8269
Phone (517) 282-2281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
526 S Creyts Rd
Ste E
Lansing, MI 48917
Phone (517) 282-2281
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Lansing, MI
- NPI 1043537269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1700223286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 S CREYTS RD STE B",
"city": "LANSING",
"state": "MI",
"postal_code": "489178269",
"telephone_number": "517-282-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 S CREYTS RD STE B",
"city": "LANSING",
"state": "MI",
"postal_code": "489178269",
"telephone_number": "517-282-2281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA MAHANEY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-24",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "MAHANEY",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-282-2281",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.