Organization Active NPI

Tara Mahaney, LLC

  • Speech-Language Pathologist
  • Lansing, MI
National Provider Identifier
1700223286
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Jan 22, 2025

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20130729000139 MI Part B Supplier - Clinic/Group Practice 0345481750 Receives reassigned benefits from 2 practitioners
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.