Tara Boocheck, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-12785 Issued in AZ

Practice address

1559 S Longmore CT
Chandler, AZ 85286-6815

Phone

(602) 391-9057

NPI assigned

Nov 27, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1871837187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W WASHINGTON ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852811858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 S LONGMORE CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866815",
            "telephone_number": "602-391-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOCHECK",
        "first_name": "TARA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-12785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Dawn Bond, FNP
• Samantha Bond
• David S Bone, PA C
• Jordan Bone, DO
• Shawna Marie Bonner, RN, BSN
• Samantha Booher
• Ariana Booker
• Jennifer Lynn Booth, M.S., CFY-SLP
• Conner Farrell Bor, DC
• Cynthia Marie Borcherding, RN

• Mental Health Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.