Active NPI
Tara J Hulsey, LCSW, LMFT, LMHC
- Clinical Social Worker
- Lafayette, IN
National Provider Identifier
1861510497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002620A
- Practice address
- 1 Walter Scholer Dr
Lafayette, IN 47909-6303 - Phone
- (765) 448-8000
- NPI assigned
- Mar 26, 2007
- Last updated
- Aug 18, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000876A | IN | |
| Clinical Social Worker | 1041C0700X | 34002620A | IN | Primary |
| Marriage & Family Therapist | 106H00000X | 35000101A | IN |
Addresses
Primary practice location
1 Walter Scholer Dr
Lafayette, IN 47909-6303
Mailing address
PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000806545 | Other | IN | ANTHEM BCBS |
| 000000997086 | Other | IN | ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653 |
Other names 1
- Tara J Williams
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000876A | IN | MD | Mental Health Counselor |
| 35000101A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1861510497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035545",
"telephone_number": "765-448-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WALTER SCHOLER DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479096303",
"telephone_number": "765-448-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSEY",
"first_name": "TARA",
"middle_name": "J",
"credential": "LCSW, LMFT, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000876A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002620A",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000101A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000806545",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653",
"identifier": "000000997086",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "WILLIAMS",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.