Individual provider Active NPI

Tashara Janae Childs, LPC

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1821565193
Registry record updated Sep 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4038 Issued in AL
Practice address
7800 Madison Blvd Ste 405
Huntsville, AL 35806-3685
Phone
(256) 489-4300
Fax
(256) 429-3329
NPI assigned
Oct 25, 2018
Last updated
Sep 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2022

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 4038 AL Primary

Addresses

Primary practice location

7800 Madison Blvd Ste 405
Huntsville, AL 35806-3685

Mailing address

7800 Madison Blvd Ste 405
Huntsville, AL 35806-3685
Phone (256) 489-4300

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
4038ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Counseling & Consulting, LLC Mental Health CurrentSince Sep 11, 2022 Accepting new patients
Brave Women Life Coaching Mental Health Current Accepting new patients
Mental Health Center of North Central Alabama Inc. PastSince May 6, 1996 Accepting new patients
Mental Health Center of North Central Alabama Past Accepting new patients

Locations

7800 Madison Blvd
Ste 405
Huntsville, AL 35806
Phone (256) 489-4300

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1821565193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 MADISON BLVD STE 405",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063685",
            "telephone_number": "256-489-4300",
            "fax_number": "256-429-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 MADISON BLVD STE 405",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063685",
            "telephone_number": "256-489-4300",
            "fax_number": "256-429-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "TASHARA",
        "middle_name": "JANAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; 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.