Active NPI
Tara Lane, LPC
- Professional Counselor
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7332
- Practice address
- 710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045 - Phone
- (843) 800-1303
- Fax
- (888) 316-7716
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7332 | SC | |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 7332 | SC | Primary |
Addresses
Primary practice location
710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045
Mailing address
2513 Daniel Island Dr
Daniel Island, SC 29492-8904
Phone (609) 412-8789
Other names 1
- Tara Godino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1131 Queensborough Blvd
Suite 100
Mt Pleasant, SC 29464-5430
Phone (843) 606-6223
710 Johnnie Dodds Blvd
Suite 200
Mount Pleasant, SC 29464-3045
Phone (843) 800-1303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7332 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
| Sweetgrass Psychiatry LLC | Mental Health | Current | Accepting new patients |
Locations
710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303
1131 Queensborough Blvd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 588-1846
4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 2
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": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1952795445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 DANIEL ISLAND DR",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294928904",
"telephone_number": "609-412-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 JOHNNIE DODDS BLVD STE 200",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643045",
"telephone_number": "843-800-1303",
"fax_number": "888-316-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "TARA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "7332",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "GODINO",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.