Active NPI
Dana Tacca, DED
- Mental Health Counselor
- Indiana, PA
National Provider Identifier
1871231969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC004553
- Practice address
- 736 Church St
Indiana, PA 15701-2741 - Phone
- (724) 427-5422
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC004553 | PA | Primary |
Addresses
Primary practice location
736 Church St
Indiana, PA 15701-2741
Mailing address
155 Sandro St
Indiana, PA 15701-6005
Phone (814) 952-1369
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
- Credentials
- Doctor of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004553 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Vita Counseling, LLC | Current | Accepting new patients |
Locations
736 Church St
Indiana, PA 15701
Phone (724) 427-5422
1163 Water St
Indiana, PA 15701
Phone (540) 539-3115
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.
-
- Professional Counselor
- Indiana, PA
- NPI 1710687728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1871231969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 SANDRO ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157016005",
"telephone_number": "814-952-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CHURCH ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157012741",
"telephone_number": "724-427-5422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACCA",
"first_name": "DANA",
"name_prefix": "Dr.",
"credential": "DED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC004553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.