TARA E BEALL-GOMES (NPI# 1841638913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841638913 |
| Entity Type | Individual |
| Full Name | TARA E BEALL-GOMES |
| Credential | NCC, LPC |
| Practice Address |
755 Main St Unit 3 Monroe CT 06468 |
| Mailing Address |
755 Main St Unit 3 Monroe CT 06468-2830 |
| Practice Telephone | 2034497908 |
| Practice Fax Number | 2034182086 |
| Mailing Telephone | 2034497908 |
| Mailing Fax Number | 2034182086 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 46.002046 | CT | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2046 | CT | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
2046 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Main St, Unit 4, Monroe, CT 064681662 | 2034497908 | |
| 169 Turrill Brook Dr, Southbury, CT 064881045 | 2034497908 | 2034182086 |
| Street Address |
755 MAIN ST UNIT 3 |
| City | MONROE |
| State | CT |
| Zip Code | 06468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490321 | Elizabeth Reynolds | Counselor | 755 Main St Unit 3, Monroe, CT 06468-2830 | 2019-07-29 |
| 1356800197 | Julie D Xistris | Counselor | 755 Main St Unit 3, Monroe, CT 06468-2830 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1134677719 | Jacqueline M D'louhy | Social Worker | 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 | 2016-09-13 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1427383488 | Danielle Maryott | Social Worker | 755 Main Street No. 8 Suite B, Monroe, CT 06468 | 2009-10-08 |
| 1710194758 | Rory T Perimenis | Dentist | 324 Elm Street, Suite 201a, Monroe, CT 06468 | 2007-05-17 |
| 1548339542 | Donald P. Opatrny | Marriage & Family Therapist | 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 | 2006-11-06 |
| 1669579546 | Lauren Goldstein | Social Worker | 227 Monroe Turnpike, Monroe, CT 06468 | 2006-09-20 |
| Find all providers in zip 06468 | ||||
| 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 |
|---|---|---|---|---|
| 1538781638 | John R Webb | Counselor | 2013 Spencer Ave, Monroe, LA 71201-2719 | 2020-05-12 |
| 1205474178 | Lotus Counseling & Consulting LLC | Counselor | 2439 5th St, Monroe, WI 53566-1504 | 2019-12-11 |
| 1851949879 | Mark Edward Hersh | Counselor | 220 Fernhead Ave, Monroe, NJ 08831-8736 | 2019-09-03 |
| 1184103749 | Lauren Allender | Counselor | 4 Whitetail Dr, Monroe, CT 06468-1485 | 2018-08-14 |
| 1518452820 | Kakietha Keys | Counselor | 154 Preston Loop, Monroe, LA 71202-6912 | 2018-06-28 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1366956435 | Paulette Roberts | Counselor | 1800 Stubbs Ave, Monroe, LA 71201 | 2017-11-27 |
| 1073025318 | Gp Consulting, LLC | Counselor | 300 Washington St Ste 100d, Monroe, LA 71201-6751 | 2017-10-26 |
| 1588180103 | Barbara Verran | Counselor | 824 S Monroe St, Monroe, MI 48161-1432 | 2017-08-15 |
| 1588184816 | Janice Price | Counselor | 2017 Hudson Lane, Monroe, LA 71201 | 2017-06-27 |
| Find all providers in MONROE | ||||
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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.