Individual provider Active NPI

Tara Lynn Boer

  • Mental Health Counselor
  • Hull, IA
National Provider Identifier
1851601322
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1419 1St St
Hull, IA 51239-7341
Phone
(712) 898-6468
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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 Primary

Addresses

Primary practice location

1419 1St St
Hull, IA 51239-7341

Mailing address

315 1St Ave NE
Sioux Center, IA 51250-1801
Phone (712) 722-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20201020002919 IA Practitioner - Clinical Social Worker 7012337694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Center Health CurrentSince Nov 14, 2020 Accepting new patients
Sioux Center Health Current Accepting new patients
Sioux Center Health Current Accepting new patients
Sioux Center Health CurrentSince Nov 14, 2020 Accepting new patients

Locations

807 Main St
Ste D
Hull, IA 51239
Phone (712) 439-1315

1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1851601322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 1ST AVE NE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501801",
            "telephone_number": "712-722-4900",
            "fax_number": "712-722-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 1ST ST",
            "city": "HULL",
            "state": "IA",
            "postal_code": "512397341",
            "telephone_number": "712-898-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOER",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hull, IA

Sources for this page

Verify at the official NPI Registry.