Tara M Harvell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-21918 Issued in AZ

Practice address

12633 N 50TH LN
Glendale, AZ 85304-2007

Phone

(602) 423-4759

NPI assigned

Apr 6, 2022

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 names 1

• Tara M Zimmerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1861133399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12633 N 50TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042007",
            "telephone_number": "602-423-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12633 N 50TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042007",
            "telephone_number": "602-423-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 W Turney Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154518",
            "country_code": "US",
            "telephone_number": "602-603-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVELL",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-21918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ZIMMERMAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kylie Louise Hartnett, LPN
• Mary Hartsook
• Alexandria Leann Harty
• January Hartze, LPC
• Xhemile Haruni, SLPA
• Judith Bernadette Harvilla, D.C.
• Kaitlyn Hasan, PA-C
• V Michelle Hasegawa, LMT
• Sami Hashmi, MD
• Stacie Lynne Hassert, O.D.

• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.