Tara A Smith, EDS, LPC, NCSP is a
Counselor based in Moore, Oklahoma. Tara A Smith is licensed to practice in Oklahoma (license number LPC07270) and her current practice location is
501 Se 4th St Ste C, Moore, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 653-8012.
NPI number for Tara A Smith is 1083057566 and her current mailing address is 624 Sw 159th Ter, Oklahoma City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083057566.
Healthcare Provider's Profile
| Full Name | Tara A Smith |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 501 Se 4th St Ste C, Moore, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083057566
- Provider Enumeration Date: 04/15/2013
- Last Update Date: 03/04/2025
Medical Identifiers
Medical identifiers for Tara A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083057566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 12-49 AE-PL (Arkansas) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | LPC07270 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara A Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tara A Smith, EDS, LPC, NCSP
624 Sw 159th Ter,
Oklahoma City, OK 73170-7626
Ph: (405) 653-7269 | Tara A Smith, EDS, LPC, NCSP
501 Se 4th St Ste C,
Moore, OK 73160-6831
Ph: (405) 653-8012 |
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