Katherine Anne Tague, LPCA
Counselor, Professional in Greenwich, CT. Individual provider (NPI-1).
NPI number1972362010
StatusActive
Last updated in NPPESOct 20, 2024
Details
- NPI
- 1972362010
- Entity type
- Individual (NPI-1)
- Name
- Katherine Anne Tague
- Credential
- LPCA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Oct 20, 2024
- Last updated
- Oct 20, 2024
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 |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6435 | CT | Yes |
Practice location
239 Glenville Rd Ste 3Greenwich, CT 06831-4172
Phone 610-639-5003
Mailing address
1225 Park Ave # PhsNew York, NY 10128-1758
Phone 610-639-5003
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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