TARA D. ANCRUM LPC
NPI 1275086480
Counselor - Professional in Hollywood, SC

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment
5740 ANCRUM BUTLER LN, HOLLYWOOD, SC 29449(843) 437-0372 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tara D. Ancrum Lpc NPPES

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

TARA D. ANCRUM LPC (NPI 1275086480) is an individual professional provider in Hollywood, South Carolina, licensed in South Carolina (6589) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1275086480
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTARA D. ANCRUMCredential: LPC
Location Address5740 ANCRUM BUTLER LNHollywood, SC 29449-7101
Mailing Address5740 Ancrum Butler LnHollywood, SC 29449-7101 · (843) 437-0372
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 25, 2016
Last NPPES UpdateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1275086480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 6589
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6589 (SC), 6126 (SC)
5740 ANCRUM BUTLER LN, Hollywood, SC 29449

Other Identifiers 1

Medicaid435201SC

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

Tara D. Ancrum 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 ID6305282419
PECOS Enrollment IDI20240312001654
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 Tara Ancrum's NPI number?

The NPI number for Tara Ancrum is 1275086480. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Tara Ancrum located?

Tara Ancrum practices at 5740 Ancrum Butler Ln, Hollywood, SC 29449. The listed phone number is (843) 437-0372.

What is Tara Ancrum's specialty?

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

Is Tara Ancrum enrolled in Medicare?

Yes. Tara Ancrum 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 Ancrum accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Tara Ancrum 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 Ancrum was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.