TARA LYNN KETTERINGHAM LCPC
NPI 1104389071
Counselor - Professional in Frederick, MD

Q: What is Tara Ketteringham's NPI number?

The NPI number for Tara Ketteringham is 1104389071. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Tara Ketteringham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Tara Ketteringham was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 09, 2019

5412 OLD NATIONAL PIKE, FREDERICK, MD 21702(240) 490-0256 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2023, Apr 9, 2019 (2 updates tracked since 2019).

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About Tara Lynn Ketteringham Lcpc NPPES

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

TARA LYNN KETTERINGHAM LCPC (NPI 1104389071) is an individual professional provider in Frederick, Maryland, licensed in Maryland (LC12334) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1104389071

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTARA LYNN KETTERINGHAMCredential: LCPC

Location Address5412 OLD NATIONAL PIKEFrederick, MD 21702-3640

Mailing Address5412 Old National PikeFrederick, MD 21702-3640 · (240) 490-0256

Phone(240) 490-0256

Sole ProprietorYes

Enumeration DateApril 9, 2019

Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2023

✔ NPI 1104389071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MD · LC12334✔ Licensed in MD · LGP9228

5412 OLD NATIONAL PIKE, Frederick, MD 21702

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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 Ketteringham's NPI number?

The NPI number for Tara Ketteringham is 1104389071. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Tara Ketteringham located?

Tara Ketteringham practices at 5412 Old National Pike, Frederick, MD 21702. The listed phone number is (240) 490-0256.

What is Tara Ketteringham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tara Ketteringham was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.