LARA TANT MA, R-DMT, RMHCI
NPI 1134090079
Counselor - Mental Health in Saint Augustine, FL

Q: What is Lara Tant's NPI number?

The NPI number for Lara Tant is 1134090079. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Q: What is Lara Tant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Lara Tant was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 September 15, 2025PECOS Enrolled

7 2ND ST APT B, SAINT AUGUSTINE, FL 32080(904) 650-3467 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Lara Tant Ma, R-dmt, Rmhci NPPES

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

LARA TANT MA, R-DMT, RMHCI (NPI 1134090079) is an individual mental health provider in Saint Augustine, Florida, licensed in Florida (IMH21196) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134090079

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLARA TANTCredential: MA, R-DMT, RMHCI

Location Address7 2ND ST APT BSaint Augustine, FL 32080-3899

Mailing Address7 2nd St Apt BSaint Augustine, FL 32080-3899

Phone(904) 650-3467

Sole ProprietorNo

Enumeration DateSeptember 15, 2025

NPPES CertifiedSeptember 15, 2025

✔ NPI 1134090079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · IMH21196

7 2ND ST APT B, Saint Augustine, FL 32080

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara Tant Ma, R-dmt, Rmhci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Lara Tant's NPI number?

The NPI number for Lara Tant is 1134090079. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Lara Tant located?

Lara Tant practices at 7 2nd St Apt B, Saint Augustine, FL 32080. The listed phone number is (904) 650-3467.

What is Lara Tant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lara Tant enrolled in Medicare?

Yes. Lara Tant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Tant was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.