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DR. TARA CARLOTTA FASOL LCPC
NPI 1265120554
Counselor - Professional in West Frankfort, IL

Active since April 25, 2023PECOS Enrolled
218 E MAIN ST, WEST FRANKFORT, IL 62896(618) 242-6944 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tara Carlotta Fasol Lcpc NPPES

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

DR. TARA CARLOTTA FASOL LCPC (NPI 1265120554) is an individual professional provider in West Frankfort, Illinois, licensed in Illinois (180014503) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265120554
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. TARA CARLOTTA FASOLCredential: LCPC
Location Address218 E MAIN STWest Frankfort, IL 62896-2406
Mailing Address11599 S County Line RdWest Frankfort, IL 62896-4954 · (618) 923-5576
Phone(618) 242-6944
Sole ProprietorNo
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1265120554 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 IL · 180014503
218 E MAIN ST, West Frankfort, IL 62896
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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)

Dr. Tara Carlotta Fasol Lcpc 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 4

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

SPERO FAMILY SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
218 E MAIN ST
WEST FRANKFORT, IL 62896
Franklin County (618) 242-6944
ABBY A WRIGHT LCPC
Counselor (Professional)
218 E MAIN ST
WEST FRANKFORT, IL 62896
Franklin County (618) 242-6944
NICOLE MARIE TROUT LCSW
Social Worker (Clinical)
218 E MAIN ST
WEST FRANKFORT, IL 62896
Franklin County (618) 242-6944
KASANDRA SAPP
Social Worker (Clinical)
218 E MAIN ST
WEST FRANKFORT, IL 62896
Franklin County (618) 932-9300

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 Fasol's NPI number?

The NPI number for Tara Fasol is 1265120554. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Tara Fasol located?

Tara Fasol practices at 218 E Main St, West Frankfort, IL 62896. The listed phone number is (618) 242-6944.

What is Tara Fasol's specialty?

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

Is Tara Fasol enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Fasol was last updated on April 25, 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.