Individual provider Active NPI

Tarasa Anderson

  • Mental Health Counselor
  • Luling, LA
National Provider Identifier
1740827708
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12715 Highway 90 Ste 200
Luling, LA 70070-2205
Phone
(985) 785-4451
Fax
(985) 785-4459
NPI assigned
Dec 9, 2019
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 NU Primary

Addresses

Primary practice location

12715 Highway 90 Ste 200
Luling, LA 70070-2205

Mailing address

12715 Highway 90 Ste 200
Luling, LA 70070-2205
Phone (985) 785-4451

Other practice location 1

13755 River Rd Ste B
Luling, LA 70070-4377
Phone (985) 785-4451

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Peace of Mind II, LLC Past Accepting new patients
A Peace of Mind II, LLC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1740827708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 HIGHWAY 90 STE 200",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700702205",
            "telephone_number": "985-785-4451",
            "fax_number": "985-785-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12715 HIGHWAY 90 STE 200",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700702205",
            "telephone_number": "985-785-4451",
            "fax_number": "985-785-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13755 River Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "700704377",
            "country_code": "US",
            "telephone_number": "985-785-4451",
            "fax_number": "985-785-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TARASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.