Active NPI
Tara M. Pierce, LMFT
- Marriage & Family Therapist
- Wentworth, NC
National Provider Identifier
1821048174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1108
- Practice address
- 335 County Home Road
Wentworth, NC 27375-0301 - Phone
- (336) 342-5756
- Fax
- (336) 349-1115
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1108 | NC | Primary |
Addresses
Primary practice location
335 County Home Road
Wentworth, NC 27375-0301
Mailing address
P.O. Box 301
Wentworth, NC 27375-0301
Phone (336) 342-5756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105221 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1108 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockingham County Finance Office | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Reidsville, NC
- NPI 1487268199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1821048174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 301",
"city": "WENTWORTH",
"state": "NC",
"postal_code": "273750301",
"telephone_number": "336-342-5756",
"fax_number": "336-349-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 COUNTY HOME ROAD",
"city": "WENTWORTH",
"state": "NC",
"postal_code": "273750301",
"telephone_number": "336-342-5756",
"fax_number": "336-349-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "TARA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105221",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wentworth, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.