Shannon Renay Tarter
Counselor, Mental Health in Sacramento, CA. Individual provider (NPI-1).
NPI number1497948228
StatusActive
Last updated in NPPESApr 12, 2011
Details
- NPI
- 1497948228
- Entity type
- Individual (NPI-1)
- Name
- Miss Shannon Renay Tarter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2007
- Last updated
- Apr 12, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
650 Howe Ave Ste 200Sacramento, CA 95825-4732
Phone 916-993-4131 · Fax 916-993-4886
Mailing address
650 Howe Ave Ste 200Sacramento, CA 95825-4732
Phone 916-993-4131 · Fax 916-993-4886
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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