MS. TARA L ELLESTAD LPC
NPI 1215005798
Counselor in Darlington, WI

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
627 MAIN ST, DARLINGTON, WI 53530(608) 776-4800(608) 776-4914 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Tara L Ellestad Lpc NPPES

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

MS. TARA L ELLESTAD LPC (NPI 1215005798) is an individual counselor in Darlington, Wisconsin, licensed in Wisconsin (3453) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215005798
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. TARA L ELLESTADCredential: LPC
Location Address627 MAIN STDarlington, WI 53530-1395
Mailing Address7633 Ganser Way Ste 204Madison, WI 53719-2092 · (608) 829-1800 · Fax (608) 829-1885
Fax(608) 776-4914
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 8, 2015
NPI 1215005798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WI · 3453
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3453 (WI)
627 MAIN ST, Darlington, WI 53530

Other Identifiers 1

Medicaid40966400WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Tara L Ellestad Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123551561
PECOS Enrollment IDI20241024000394
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.

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.

Social Worker (Clinical)
627 MAIN ST
DARLINGTON, WI 53530
Social Worker (Clinical)
627 MAIN ST
DARLINGTON, WI 53530
Social Worker (Clinical)
627 MAIN ST
DARLINGTON, WI 53530
Social Worker (Clinical)
627 MAIN ST
DARLINGTON, WI 53530
Social Worker (Clinical)
627 MAIN ST
DARLINGTON, WI 53530
Social Worker
627 MAIN ST
DARLINGTON, WI 53530
Social Worker (Clinical)
627 MAIN ST
DARLINGTON, WI 53530
Social Worker (Clinical)
627 MAIN ST
DARLINGTON, WI 53530

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 Ellestad's NPI number?

The NPI number for Tara Ellestad is 1215005798. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Tara Ellestad located?

Tara Ellestad practices at 627 Main St, Darlington, WI 53530. The listed phone number is (608) 776-4800.

What is Tara Ellestad's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tara Ellestad enrolled in Medicare?

Yes. Tara Ellestad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tara Ellestad accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Tara Ellestad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Ellestad was last updated on June 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.