Tara Amarose, LPC
Individual provider Active NPI Counselor · Marion, OH
NPI 1902344880 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1902344880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- C1500535 (OH)
- Practice address
- 320 Executive Dr
Marion, OH 43302-6310 - Phone
- (740) 387-5210
- Fax
- (740) 383-3472
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1500535 | OH | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C1500535 | OH | Yes |
Addresses
Primary practice location
320 Executive Dr
Marion, OH 43302-6310
Mailing address
320 Executive Dr
Marion, OH 43302-6310
Phone (740) 387-5210
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.