Individual provider Active NPI

Tara Whitney

  • Professional Counselor
  • Houma, LA
National Provider Identifier
1912453291
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
420 Magnolia St
Houma, LA 70360
Phone
(985) 879-3966
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LA
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 8112 LA
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

420 Magnolia St
Houma, LA 70360

Mailing address

420 Magnolia St
Houma, LA 70360-6304
Phone (985) 879-3966

Other practice location 1

106 Progressive Blvd
Suite 106
Houma, LA 70360
Phone (985) 746-5681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000412 LA Practitioner - Mental Health Counselor 9234675703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Whitney Mediations, LLCGroup PAC ID 6406364793, 2 clinicians

Practice addresses (Care Compare)

8019 Park Ave
Houma, LA 70364-3360
Phone (985) 709-0056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8112LAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney Mediations, LLC Mental Health CurrentSince Mar 23, 2022 Accepting new patients

Locations

8019 Park Ave
Houma, LA 70364
Phone (985) 709-0056

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

144 Valhi Lagoon Xing
Houma, LA 70360
Phone (985) 223-0032

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1912453291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAGNOLIA ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606304",
            "telephone_number": "985-879-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAGNOLIA ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-879-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Progressive Blvd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "70360",
            "country_code": "US",
            "telephone_number": "985-746-5681",
            "fax_number": "985-293-7143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8112",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.