TARAH LYNN GROETTUM MSED, LPCC
NPI 1417699901
Counselor - Professional in Eagan, MN

Active since April 13, 2022PECOS EnrolledAccepts Medicare Assignment
1581 LANCASTER LN, EAGAN, MN 55122(612) 227-0971(651) 391-2072 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tarah Lynn Groettum Msed, Lpcc NPPES

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

TARAH LYNN GROETTUM MSED, LPCC (NPI 1417699901) is an individual professional provider in Eagan, Minnesota, licensed in Minnesota (CC03223) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417699901
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTARAH LYNN GROETTUMCredential: MSED, LPCC
Location Address1581 LANCASTER LNEagan, MN 55122-2720
Mailing Address1581 Lancaster LnEagan, MN 55122-2720 · (612) 227-0971 · Fax (651) 391-2072
Fax(651) 391-2072
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2022
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1417699901 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 MN · CC03223
1581 LANCASTER LN, Eagan, MN 55122

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

Tarah Lynn Groettum Msed, Lpcc 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 ID5799135885
PECOS Enrollment IDI20240102003044
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

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

Counselor (Professional)
1581 LANCASTER LN
EAGAN, MN 55122

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 Tarah Groettum's NPI number?

The NPI number for Tarah Groettum is 1417699901. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Tarah Groettum located?

Tarah Groettum practices at 1581 Lancaster Ln, Eagan, MN 55122. The listed phone number is (612) 227-0971.

What is Tarah Groettum's specialty?

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

Is Tarah Groettum enrolled in Medicare?

Yes. Tarah Groettum 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 Tarah Groettum accept?

Health plans from HealthPartners list Tarah Groettum 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 Tarah Groettum was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.