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

Tara Lynn Ketteringham, LCPC

Individual provider Professional Counselor · NPI 1104389071

Tara Lynn Ketteringham, LCPC is a Professional Counselor in Frederick, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

5412 Old National Pike
Frederick, MD 21702-3640
Phone: (240) 490-0256
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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 LC12334 (MD)
Professional Counselor Taxonomy 101YP2500X · Licence LGP9228 (MD)

Record details

NPI number1104389071
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

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