TARA L MITCHELL LPC NPI 1225173644

NPI Information

NPI: 1225173644
Provider Name: TARA L MITCHELL, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
203 UNITED WAY DRIVE
FREDERIC, WI
ZIP 54837
Phone: (715) 327-4402
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Tara L Mitchell, LPC is a mental health counselor in Frederic, WI. Tara L Mitchell, LPC NPI is 1225173644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

203 UNITED WAY DRIVE
FREDERIC, WI
ZIP 54837-938
Phone: (715) 327-4402
Fax: (715) 327-8509

The enumeration date for this NPI number is 2/21/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3728-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HP83841	OTHER	WISCONSIN	HEALTH PARTNERS
2	7C790MI	OTHER	MINNESOTA	BCBS OF MN
3	$$$$$$$$$004	OTHER	WISCONSIN	ANTHEM BCBS
4	40969600	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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