TARA L EYTCHESON (NPI# 1275677270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275677270 |
| Entity Type | Individual |
| Full Name | TARA L EYTCHESON |
| Practice Address |
1539 E 100 N Kokomo IN 46901-3413 |
| Practice Telephone | 7654505657 |
| Practice Fax Number | 7654506353 |
| Mailing Telephone | 7654505657 |
| Mailing Fax Number | 7654506353 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1539 E 100 N |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922478551 | Melody E Marley, LLC | Psychologist | 1539 E 100 N, Kokomo, IN 46901-3413 | 2015-09-24 |
| 1457692295 | Amy Little LLC | Social Worker | 1539 E 100 N, Kokomo, IN 46901-3413 | 2013-03-04 |
| 1619246204 | The Counseling and Wellness House LLC | Community/Behavioral Health | 1539 E 100 N, Kokomo, IN 46901-3413 | 2011-12-28 |
| 1811214398 | Amy E Little | Social Worker | 1539 E 100 N, Kokomo, IN 46901-3413 | 2010-04-23 |
| 1235311366 | Angel Carpenter | Counselor | 1539 E 100 N, Kokomo, IN 46901-3413 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| 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 |
|---|---|---|---|---|
| 1013233980 | Michael R Turley | Counselor | 979 Echo Ln, Kokomo, IN 46902-2602 | 2010-04-15 |
| 1811536592 | Calah Unique Oglesby | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2019-12-30 |
| 1801451372 | Julie Parson Otis | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2019-05-09 |
| 1225598063 | Rita Marie Tattersall | Counselor | 2765 Albright Rd Ste A, Kokomo, IN 46902-3996 | 2019-03-20 |
| 1790258713 | Stephanie Newswanger | Counselor | 424 E Southway Blvd, Kokomo, IN 46902-3814 | 2019-01-03 |
| 1689196032 | Monica Patrease Mcdonald | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2017-07-07 |
| 1376063586 | Rich T. Saxton | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2017-06-20 |
| 1770983348 | Kim Almon Smith | Counselor | 315 W Lincoln Rd, Kokomo, IN 46902-3850 | 2014-09-02 |
| 1114344116 | Rachel Anderson | Counselor | 3409 S 200 W, Kokomo, IN 46902-9613 | 2014-03-27 |
| 1073873998 | Samantha Glen Hall-fisher | Counselor | 315 W Lincoln Rd, Suite B, Kokomo, IN 46902-3850 | 2012-05-24 |
| Find all providers in KOKOMO | ||||
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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.