Individual provider Active NPI

Tara Rae Tresslar, MED, NCC

  • Mental Health Counselor
  • Augusta, GA
National Provider Identifier
1710667274
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1120 Marks Church Rd
Augusta, GA 30909-2670
Phone
(706) 868-5011
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1120 Marks Church Rd
Augusta, GA 30909-2670

Mailing address

424 Keeling LN
Evans, GA 30809-8227
Phone (317) 502-7253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center of the Csra, Inc. Mental Health CurrentSince Jul 23, 2023 Accepting new patients

Locations

1120 Marks Church Rd
Augusta, GA 30909
Phone (706) 868-5011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1710667274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 KEELING LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098227",
            "telephone_number": "317-502-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MARKS CHURCH RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092670",
            "telephone_number": "706-868-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESSLAR",
        "first_name": "TARA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MED, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.