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

Tarah Lynn Groettum, MSED, LPCC

Individual provider Professional Counselor · NPI 1417699901

Tarah Lynn Groettum, MSED, LPCC is a Mental Health Counselor in Eagan, Minnesota. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2022
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1581 Lancaster Ln
Eagan, MN 55122-2720
Phone: (612) 227-0971
Fax: (651) 391-2072
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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 CC03223 (MN)

Record details

NPI number1417699901
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , LPCC
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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