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

Q: 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.

Q: What is Tara Samples's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Samples was last updated on July 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.

Active since October 21, 2006PECOS Enrolled

3362 S 3RD ST, MEMPHIS, TN 38109(901) 701-2510 Get Directions Write a Review

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

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 28, 2017 and 1 more (4 updates tracked since 2017).

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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 Memphis, Tennessee, licensed in Tennessee (3472) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1306929732

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTARA COLLINS SAMPLESCredential: PH.D, LCP

Location Address3362 S 3RD STMemphis, TN 38109-2944

Mailing Address100 Campus View DrLincoln, IL 62656-2111 · (678) 643-9371

Phone(901) 701-2510

Sole ProprietorNo

Enumeration DateOctober 21, 2006

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ 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

Licenses✔ Licensed in TN · 3472✔ Licensed in IL · 07100827

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.

3362 S 3RD ST, Memphis, TN 38109

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Other Names 1

Former Name (1)Miss Tara Michele Collins Phd

Secondary Practice Location 1

Location 1100 Campus View DrLincoln, IL 62656-2111 · Phone (678) 643-9371

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Collins Samples Ph.d, Lcp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38109 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.

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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.

FLORIDA ALLEN NP

Nurse Practitioner (Family)