Individual provider Active NPI

Tara Elizabeth Barr, MA, JD, LLPC, NCC

  • Mental Health Counselor
  • Waterford, MI
National Provider Identifier
1972151827
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401017637 Issued in MI
Practice address
3650 Dixie Hwy
Waterford, MI 48329-4209
Phone
(248) 909-1869
Fax
(248) 599-7392
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401017637 MI Primary

Addresses

Primary practice location

3650 Dixie Hwy
Waterford, MI 48329-4209

Mailing address

1122 E Glengarry Cir
Bloomfield Hills, MI 48301-2215
Phone (248) 633-5148

Other practice location 1

3650 Dixie Hwy
Waterford, MI 48329-4209
Phone (248) 909-1869 ext. 711

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
Credentials
Juris Doctor, Master of Arts

State licenses

LicenseStateTypeSpecialty
6401017637MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genuine Solutions Counseling Center Mental Health PastSince Sep 8, 2019 Accepting new patients

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1972151827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E GLENGARRY CIR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012215",
            "telephone_number": "248-633-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294209",
            "telephone_number": "248-909-1869",
            "fax_number": "248-599-7392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483294209",
            "country_code": "US",
            "telephone_number": "248-909-1869 x711",
            "fax_number": "248-599-7392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARR",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "credential": "MA, JD, LLPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.