Active NPI
Tara L McNulty
- Professional Counselor
- Clarks Summit, PA
National Provider Identifier
1912531567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC014934
- Practice address
- 421 S State St
Clarks Summit, PA 18411-1684 - Phone
- (570) 215-5186
- NPI assigned
- Feb 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH001898 | PA | |
| Professional Counselor | 101YP2500X | PC014934 | PA | Primary |
Addresses
Primary practice location
421 S State St
Clarks Summit, PA 18411-1684
Mailing address
1528 Lower Mill City Rd
Dalton, PA 18414-7870
Phone (570) 335-4512
Other practice location 1
38 N Scott St
Carbondale, PA 18407-1888
Phone (570) 281-6340
Other practice location 2
301 W Grove St
Clarks Summit, PA 18411-2090
Phone (570) 961-3361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014934 | PA | MD | Professional Counselor |
| BH001898 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1912531567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 LOWER MILL CITY RD",
"city": "DALTON",
"state": "PA",
"postal_code": "184147870",
"telephone_number": "570-335-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111684",
"telephone_number": "570-215-5186"
}
],
"practiceLocations": [
{
"address_1": "38 N Scott St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "PA",
"postal_code": "184071888",
"country_code": "US",
"telephone_number": "570-281-6340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 W Grove St",
"address_purpose": "LOCATION",
"city": "Clarks Summit",
"state": "PA",
"postal_code": "184112090",
"country_code": "US",
"telephone_number": "570-961-3361",
"fax_number": "570-961-3364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNULTY",
"first_name": "TARA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-22",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH001898",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC014934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.