TARA FARRELL (NPI# 1154752244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154752244 |
| Entity Type | Individual |
| Full Name | TARA FARRELL |
| Credential | LMHC |
| Practice Address |
123 General Delivery Santa Rosa CA 95402-9999 |
| Mailing Address |
Po Box 3531 Santa Rosa CA 95402-3531 |
| Practice Telephone | 2067866672 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PCCI2870 | CA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | MC60442665 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH60611750 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MC60442665 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609037142 | Tara Beth Farrell | Case Manager/Care Coordinator | 935 Hwy V V, Kennett, MO 63857 | 2008-06-18 |
| 1306049598 | Tara M. Farrell | Optometrist | 703 Rutter Ave, Kingston, PA 18704-4801 | 2007-06-06 |
| Street Address |
123 GENERAL DELIVERY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95402-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740405232 | Alexander Amochaeu | Specialist/Technologist, Other | 1165 Montgomery Drive, Santa Rosa, CA 95402 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1568069193 | Penelope L Salzgeber | Social Worker | 1815 Bodie St, Santa Rosa, CA 95403-2497 | 2020-10-06 |
| 1265039994 | Laura Holtan | Speech-Language Pathologist | 1131 Shadyslope Dr, Santa Rosa, CA 95404-2742 | 2020-10-06 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1326655911 | Natalie Womack | Massage Therapist | 1100 Coddingtown Ctr Ste 2a, Santa Rosa, CA 95401-3516 | 2020-09-28 |
| 1467069260 | Marisa Lynn Beltran Del Rio | Massage Therapist | 1510 Kona Pl, Santa Rosa, CA 95403-8605 | 2020-09-25 |
| 1679180673 | Anchor Health LLC | Hospice Care, Community Based | 891 2nd St Unit 1, Santa Rosa, CA 95404-4621 | 2020-09-24 |
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1215541487 | Jennifer Rae Fairbairn | Massage Therapist | 2470 Chanate Rd, Santa Rosa, CA 95404-2110 | 2020-09-03 |
| 1609480029 | Daphne Lynne Hartley | Occupational Therapist | 301 White Oak Dr, Santa Rosa, CA 95409-5950 | 2020-09-02 |
| Find all providers in SANTA ROSA | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506381 | Shauna Rose Hamilton | Counselor | 831 Howard St, Santa Rosa, CA 95404-3714 | 2020-04-13 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1275066193 | Alyssia Cruz | Counselor | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2017-04-07 |
| 1780036780 | Brittany Leigh Ratiani | Counselor | 1421 Guerneville Rd Ste 128, Santa Rosa, CA 95403 | 2016-07-01 |
| 1912378381 | Deborah Dooley | Counselor | 650 Larkfield Ctr # A-3, Santa Rosa, CA 95403-1400 | 2015-10-12 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1265808976 | Wilton Hall IIi | Counselor | 3114 Terra Linda Dr, Santa Rosa, CA 95404-2121 | 2015-08-17 |
| 1225463128 | Laura May | Counselor | 757 Beaver St, Santa Rosa, CA 95404-3755 | 2013-09-10 |
| 1427482348 | Eden Rose Lebold | Counselor | 1230 Impala Ct, Santa Rosa, CA 95405-7323 | 2013-08-27 |
| 1073866778 | Gabriel T. Cooper | Counselor | 2255 Challenger Way, Suite 106, Santa Rosa, CA 95407-5423 | 2012-10-18 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95402 |
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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.