Tara Renee Woltz, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1400647 Issued in OH

Practice address

3964 Hamilton Square Blvd
Groveport, OH 43125-9119

Phone

(614) 610-1506

NPI assigned

Oct 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Lighthouse Behavioral Health Solutions, LLCGroup PAC ID 4486089893, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Behavioral Health Solutions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1629560230
  Medicare reassignment Care Compare group NPD
• Peace of Mind Counseling

  • Professional Counselor
  • Columbus, OH
  • NPI 1477364347
  NPD Authorized official

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1790296531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 HAMILTON SQUARE BLVD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259119",
            "telephone_number": "614-610-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 HAMILTON SQUARE BLVD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259119",
            "telephone_number": "614-610-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTZ",
        "first_name": "TARA",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1400647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INS",
            "identifier": "1093251225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Welch
• Quan White
• Jonathan Ashley Whitt
• Jerita Tarelle Williams, LSW
• Greg A Wise, M.D.
• Jessica Yoder, OTD, OTR/L
• Loretta S Zornes

• Mental Health Counselor in Groveport, OH
• Providers in Groveport, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.