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TARA BRINKOETTER
NPI 1669639050
Social Worker - Clinical in Bloomington, IL

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351(309) 829-6808 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Mar 19, 2019 (2 updates tracked since 2019).

About Tara Brinkoetter NPPES

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

TARA BRINKOETTER (NPI 1669639050) is an individual clinical provider in Bloomington, Illinois and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1669639050
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA BRINKOETTER
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address1698 Fort Jesse Rd, Apt. 4Normal, IL 61761-2219 · (217) 855-7777
Phone(309) 827-5351
Fax(309) 829-6808
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 22, 2008
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1669639050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
108 W MARKET ST, Bloomington, IL 61701
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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 and accepts Medicare assignment

Tara Brinkoetter 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 ID4587912803
PECOS Enrollment IDI20180802002611
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 61701 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
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 20

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

THERESA KAUTH
Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
TIMOTHY ROBERT WRIGHT
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRYNNA A PORCH
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
MR. JOSHUA BECKWITH
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRIDGET W MWAURA
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
JOANNE LILLIAN MECHERLE
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
KEVIN PETER CRUTCHER
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
DEAN CONSTANTOPALOS
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351

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 Brinkoetter's NPI number?

The NPI number for Tara Brinkoetter is 1669639050. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Tara Brinkoetter located?

Tara Brinkoetter practices at 108 W Market St, Bloomington, IL 61701. The listed phone number is (309) 827-5351.

What is Tara Brinkoetter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tara Brinkoetter enrolled in Medicare?

Yes. Tara Brinkoetter 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.

When was this NPI record last updated?

The NPPES record for Tara Brinkoetter was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.