Tara Fleis, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015102 Issued in MI

Practice address

9885 State Highway M95
Republic, MI 49879-9131

Phone

(906) 282-3130

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8602/brand/1/csg/1/fhir/r4

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.

• Resolutions Professional Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ishpeming, MI
  • NPI 1124644133
  Medicare reassignment NPD Authorized official
• Unite Up

  • Clinical Social Worker
  • Houghton, MI
  • NPI 1215510516
  Medicare reassignment
• Monarch Healthcare

  • Psychiatry Physician
  • Marquette, MI
  • NPI 1043944028
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1760933121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HEMLOCK STREET",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "49879",
            "telephone_number": "906-376-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 STATE HIGHWAY M95",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "498799131",
            "telephone_number": "906-282-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEIS",
        "first_name": "TARA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Orthotics LLC
• Jon Richard Tapio, BOC ORTHOTIST
• Town of Republic

• Mental Health Counselor in Republic, MI
• Providers in Republic, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.