MRS. TARA MALLARD GEORGE LPC, RN
NPI 1215021712
Counselor - Professional in Richmond, VA

Active since October 02, 2006PECOS Enrolled
4914 FITZHUGH AVE STE 214, RICHMOND, VA 23230(804) 377-3955(804) 377-3956 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tara Mallard George Lpc, Rn NPPES

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

MRS. TARA MALLARD GEORGE LPC, RN (NPI 1215021712) is an individual professional provider in Richmond, Virginia, licensed in Virginia (0701003429) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215021712
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TARA MALLARD GEORGECredential: LPC, RN
Location Address4914 FITZHUGH AVE STE 214Richmond, VA 23230-3534
Mailing Address4914 Fitzhugh Ave Ste 214Richmond, VA 23230-3534 · (804) 467-2606 · Fax (804) 377-3956
Fax(804) 377-3956
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
NPI 1215021712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701003429
4914 FITZHUGH AVE STE 214, Richmond, VA 23230

Other Identifiers 1

MedicaidVA005415781VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Tara Mallard George Lpc, Rn 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.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
4914 FITZHUGH AVE STE 214
RICHMOND, VA 23230
Clinical Medical Laboratory
4914 FITZHUGH AVE STE 214
RICHMOND, VA 23230
Social Worker (Clinical)
4914 FITZHUGH AVE STE 214
RICHMOND, VA 23230

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 George's NPI number?

The NPI number for Tara George is 1215021712. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Tara George located?

Tara George practices at 4914 Fitzhugh Ave Ste 214, Richmond, VA 23230. The listed phone number is (804) 377-3955.

What is Tara George's specialty?

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

Is Tara George enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara George was last updated on September 21, 2022. 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.