Tara Lynne Chase, LAC, MS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21718 Issued in AZ

Practice address

1350 E McKellips Rd Ste 2
Mesa, AZ 85203-2739

Phone

(623) 462-8187

NPI assigned

Oct 11, 2022

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Lynne Bassell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Place Recovery and Wellness Center LLC

  • Mental Health Counselor
  • Surprise, AZ
  • NPI 1316712441
  NPD Authorized official
• Park Place Recovery and Wellness Center LLC.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1013792118
  NPD Authorized official
• House of Graces LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1073106373
  NPD (past)
• Well Therapy

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1134860182
  NPD (past)

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1962127969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13916 N 135TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798428",
            "telephone_number": "623-462-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MCKELLIPS RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032739",
            "telephone_number": "623-462-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "TARA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LAC, MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BASSELL",
            "middle_name": "LYNNE",
            "credential": "MS, LAC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tess C Charles, PA-C
• Julius Ray Charlie, M.D.
• Megan Charlton, OTD, CHT
• Matthaya Charnvitayapong
• Amanda Chase, OTR-L
• Michael Adam Chasin, M.D.
• Marvin M Chassin, MD
• Maninder Pal Chatha, M.D.
• Joseph Luckose Chatham, MD
• Terrica Chatman, BA, BHT

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, 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 Aug 28, 2023; 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.