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TARA LYNNE SOUSA MFTA
NPI 1073193223
Marriage & Family Therapist in New London, CT

Active since April 12, 2021PECOS Enrolled
7 VAUXHALL ST, NEW LONDON, CT 06320(860) 442-2797(860) 701-3776 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tara Lynne Sousa Mfta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA LYNNE SOUSA MFTA (NPI 1073193223) is an individual marriage & family therapist in New London, Connecticut and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073193223
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTARA LYNNE SOUSACredential: MFTA
Location Address7 VAUXHALL STNew London, CT 06320-5711
Mailing Address255 Hempstead StNew London, CT 06320-6290 · (860) 443-2896
Phone(860) 442-2797
Fax(860) 701-3776
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 12, 2021
NPPES CertifiedApril 12, 2021
✔ NPI 1073193223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
7 VAUXHALL ST, New London, CT 06320
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Lynne Sousa Mfta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557866563
PECOS Enrollment IDI20250922003348
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tara Sousa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peace Connection PLLC
7.8 mi
Clinical
12 ROOSEVELT AVE STE 2
Mystic, CT 06355
  • Reassigned Medicare billing, Connecticut enrollment
  • 5 clinicians in this Medicare group
NPI 1306564976 (860) 485-7992

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE WAID MFT
Marriage & Family Therapist
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-2797
LINDSAY WARNER MA
Counselor (Professional)
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
MELLINDA JENNIE HIRSCHFELD BS
Community Health Worker
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
ALLISON WOODS
Student in an Organized Health Care Education/Training Program
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
TALENA BELL-LUCAS MSW
Social Worker (Clinical)
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
LEIGH BUCKMAN
Nurse Practitioner (Family)
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
MADILYNN JANE DELACH MS
Counselor (Professional)
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
7 VAUXHALL ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Sousa's NPI number?

The NPI number for Tara Sousa is 1073193223. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Tara Sousa located?

Tara Sousa practices at 7 Vauxhall St, New London, CT 06320. The listed phone number is (860) 442-2797.

What is Tara Sousa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tara Sousa enrolled in Medicare?

Yes. Tara Sousa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Sousa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Sousa reassigns Medicare benefits to Peace Connection PLLC (Mystic, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Sousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Sousa was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.