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TARA FREY RSA
NPI 1154908085
Counselor - Addiction (Substance Use Disorder) in Waterloo, IL

Active since March 26, 2021
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(618) 939-4444 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2025, Mar 26, 2021 (2 updates tracked since 2021).

About Tara Frey Rsa NPPES

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

TARA FREY RSA (NPI 1154908085) is an individual addiction (substance use disorder) provider in Waterloo, Illinois, licensed in Illinois (37711) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1154908085
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTARA FREYCredential: RSA
Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1059
Mailing Address988 N Illinois Route 3Waterloo, IL 62298-1059 · (618) 939-4444
Phone(618) 939-4444
Sole ProprietorYes
Enumeration DateMarch 26, 2021
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1154908085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 37711
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
988 N ILLINOIS ROUTE 3, Waterloo, IL 62298
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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.

JENNIFER NICOLE SHEMONIC BA, LPC
Counselor (Professional)
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
MR. JONATHAN ANDREW BURKHART BS
Counselor
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
LINDSEY WELKER BA
Psychologist (Counseling)
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
CHRISTOPHER GENE LOVING CADC
Counselor (Addiction (Substance Use Disorder))
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
TANYA A DURRER RN
Registered Nurse (Psychiatric/Mental Health)
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
KIMBERLY ANN PENNOCK LCSW
Social Worker (Clinical)
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
DAWN AMY TRAVELSTEAD LPN
Licensed Practical Nurse
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
JACQUELINE ELLEN WILSON MAQMHP
Counselor (Mental Health)
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444

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 Frey's NPI number?

The NPI number for Tara Frey is 1154908085. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Tara Frey located?

Tara Frey practices at 988 N Illinois Route 3, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Tara Frey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tara Frey was last updated on December 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.