MRS. TARA JERRAY VARGAS-TUCKER (NPI# 1104398718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104398718 |
| Entity Type | Individual |
| Full Name | MRS. TARA JERRAY VARGAS-TUCKER |
| Credential | MA, LPC |
| Practice Address |
101 Antelope Circle Mission SD 57555-5755 |
| Mailing Address |
Po Box 105 Mission SD 57555-0105 |
| Practice Telephone | 6058568239 |
| Practice Fax Number | 6058568124 |
| Mailing Telephone | 6058568239 |
| Mailing Fax Number | 6058568124 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC7267 | SD | Behavioral Health & Social Service Providers |
| Street Address |
101 ANTELOPE CIRCLE |
| City | MISSION |
| State | SD |
| Zip Code | 57555-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706892 | Kristine Ellece Smith | Social Worker | 101 Antelope Lake Circle, Mission, SD 57555 | 2020-10-05 |
| 1891352134 | Sinte Gleska University | Counselor | Antelope Lake Drive, Mission, SD 57555 | 2019-05-22 |
| 1790259182 | Charlotte Rose Emery | Counselor | 101 Antelpe Lake, Mission, SD 57555 | 2019-01-18 |
| 1285110486 | Ryan Ross Rowe | Nurse Practitioner | 161 S. Main, Mission, SD 57555 | 2018-07-11 |
| 1225578198 | Autumn Rae Tucker | Nurse Practitioner | 161 S, Main Street, Mission, SD 57555 | 2017-02-27 |
| 1497204937 | Molly Driel Dent | Psychologist | 102 E. Denver Drive, Mission, SD 57555 | 2016-09-26 |
| 1285923011 | Ed Parsells | Counselor | 250 S. Harrison St., Mission, SD 57555 | 2011-04-01 |
| 1023340767 | Burke Community Pharmacy Inc. | Pharmacy | 161 S. Main Street, Mission, SD 57555 | 2010-02-05 |
| 1366687428 | Todd County School District 66-1 | Local Education Agency (LEA) | 110 E. Denver Drive, Mission, SD 57555 | 2008-12-03 |
| 1790972719 | Angela Blane Chambers | Physician Assistant | 161 S Main St., Mission, SD 57555 | 2007-10-03 |
| Find all providers in zip 57555 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686967 | Beatriz Gonzalez | Counselor | 700 E 2 Mile Line, Mission, TX 78574 | 2020-10-10 |
| 1679107890 | Melissa Calderon | Counselor | 8112 N Shary Rd, Mission, TX 78573-0692 | 2020-02-26 |
| 1760032411 | Marcos L Garza | Counselor | 709 Lake View Dr, Mission, TX 78572-7736 | 2019-09-15 |
| 1770136483 | Sharyland Counseling Services, LLC | Counselor | 2031b E Griffin Pkwy Ste 1, Mission, TX 78572-3222 | 2019-07-22 |
| 1346702610 | Maura Primary Mccool | Counselor | 6025 Metcalf Ln Ste 100, Mission, KS 66202-2339 | 2019-04-04 |
| 1790259182 | Charlotte Rose Emery | Counselor | 101 Antelpe Lake, Mission, SD 57555 | 2019-01-18 |
| 1053883090 | Eduardo T Gonzalez | Counselor | 2031b E Griffin Pkwy Ste 1&2, Mission, TX 78572-3222 | 2018-12-31 |
| 1053897926 | Laura Barrientos | Counselor | 7210 W Interstate 2 Ste B, Mission, TX 78572-9526 | 2018-07-13 |
| 1851893929 | Valerie Blue | Counselor | 5845 Horton St Ste 212, Mission, KS 66202-2610 | 2018-03-06 |
| 1699287680 | Martha Leticia Calderon Galassi | Counselor | 1512 E Griffin Pkwy # 8, Mission, TX 78572-2416 | 2017-10-30 |
| Find all providers in MISSION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.