Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tara Marie Nystrom, MS, MHC

Individual provider Mental Health Counselor · NPI 1235565722

Mrs. Tara Marie Nystrom, MS, MHC is a Mental Health Counselor in Coram, New York. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8302
Fax: (631) 920-8462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1235565722
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MHC
Sole proprietorNo
NPI enumeratedSeptember 17, 2013
Last updated in NPPESSeptember 17, 2013

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