Individual provider Active NPI

Takiya Tarlton, LPC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1790113470
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10231 Issued in NC
Practice address
3810 Indian River Rd.
#13074
Chesapeake, VA 23325-1831
Phone
(757) 450-5873
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10231 NC Primary

Addresses

Primary practice location

3810 Indian River Rd.
#13074
Chesapeake, VA 23325-1831

Mailing address

3810 Indian River Rd.
#13074
Chesapeake, VA 23325-1831
Phone (757) 450-5873

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

State licenses

LicenseStateTypeSpecialty
10231NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
3 Keys Counseling & Consulting, LLC CurrentSince Feb 23, 2020 Accepting new patients

Locations

3810 Indian River Rd
Unit 13074
Chesapeake, VA 23325
Phone (757) 276-1511

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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1790113470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 INDIAN RIVER RD.",
            "address_2": "#13074",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233251831",
            "telephone_number": "757-450-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 INDIAN RIVER RD.",
            "address_2": "#13074",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233251831",
            "telephone_number": "757-450-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARLTON",
        "first_name": "TAKIYA",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.