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

Tara Smith

Individual provider Mental Health Counselor · NPI 1780208777

Tara Smith is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Kansas.

Years since qualifying
11
Licensed in
AZ, KS
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5060 N 19th Ave # 207-7
Phoenix, AZ 85015-3210
Phone: (520) 730-5585
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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 · Licence LPC-19031 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence LCPC-03502 (KS)

Record details

NPI number1780208777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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