Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Frey, RSA

Individual provider Case Manager/Care Coordinator · NPI 1154908085

Tara Frey, RSA is a Case Manager/Care Coordinator in Waterloo, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone: (618) 939-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 37711 (IL)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1154908085
Entity typeIndividual (Type 1)
GenderFemale
Credentials RSA
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address988 N Illinois Route 3, Waterloo, IL 62298-1059

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