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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARA COLLINS SAMPLES PH.D, LCP
NPI 1306929732
Psychologist - Clinical in Bartlett, TN

Active since October 21, 2006PECOS EnrolledAccepts Medicare Assignment
3051 KIRBY WHITTEN RD STE 5, BARTLETT, TN 38134(901) 701-2510(901) 701-2510 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Tara Collins Samples Ph.d, Lcp NPPES

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

TARA COLLINS SAMPLES PH.D, LCP (NPI 1306929732) is an individual clinical provider in Bartlett, Tennessee, licensed in Tennessee (3472) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306929732
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTARA COLLINS SAMPLESCredential: PH.D, LCP
Location Address3051 KIRBY WHITTEN RD STE 5Bartlett, TN 38134-2811
Mailing Address3051 Kirby Whitten Rd Ste 5Bartlett, TN 38134-2811 · (901) 440-0989
Phone(901) 701-2510
Fax(901) 701-2510
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 21, 2006
Last NPPES UpdateSeptember 28, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1306929732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TN · 3472
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3051 KIRBY WHITTEN RD STE 5, Bartlett, TN 38134
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Other Names 1

Former Name (1)Miss Tara Michele Collins Phd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Collins Samples Ph.d, Lcp 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 ID5799058962
PECOS Enrollment IDI20170911000718
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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Samples reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christ Community Health Services, Inc
4.1 mi
Federally Qualified Health Center (FQHC)
3481 AUSTIN PEAY HWY
Memphis, TN 38128
  • Reassigned Medicare billing, Tennessee enrollment
  • 101 clinicians in this Medicare group
NPI 1609261510 (901) 260-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FERRAND PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
3051 KIRBY WHITTEN RD STE 5
BARTLETT, TN 38134
Shelby County (901) 440-0989
BALLAST BEHAVIORAL HEALTH GROUP PLLC
Psychologist (Clinical)
3051 KIRBY WHITTEN RD STE 5
BARTLETT, TN 38134
Shelby County (901) 440-0989
DR. ROBERT SHANE PUGSLEY DC
Chiropractor
3051 KIRBY WHITTEN RD STE 5
BARTLETT, TN 38134
Shelby County (901) 352-5858

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 Samples's NPI number?

The NPI number for Tara Samples is 1306929732. It was assigned to this individual provider in the NPPES registry on October 21, 2006. The provider is also known as Miss Tara Michele Collins Phd.

Where is Tara Samples located?

Tara Samples practices at 3051 Kirby Whitten Rd Ste 5, Bartlett, TN 38134. The listed phone number is (901) 701-2510.

What is Tara Samples's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tara Samples enrolled in Medicare?

Yes. Tara Samples 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.

Which organization bills Medicare for Tara Samples's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Samples reassigns Medicare benefits to Christ Community Health Services, Inc (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Samples's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Samples accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Tara Samples 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 Samples was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.