Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Lynn Grubbs, PCC-S

Individual provider Professional Counselor · NPI 1942542667

Tara Lynn Grubbs, PCC-S is a Mental Health Counselor in Canton, Ohio. Qualified in 2004, 22 years ago. Practices with Phoenix Rising Behavioral Healthcare and Recovery, Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2013
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Practice location Address checks out

624 Market Ave N
Canton, OH 44702-1017
Phone: (330) 493-4553
Fax: (330) 493-3761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E0602214-SUPV (OH)

Record details

NPI number1942542667
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCC-S
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Phoenix Rising Behavioral Healthcare And Recovery, Inc. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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