TARRA LYNN PANNULLO MA, NCC
NPI 1679965438
Counselor - Mental Health in Pembroke Pines, FL

Active since March 03, 2015
9000 SHERIDAN ST, PEMBROKE PINES, FL 33024(954) 440-6386 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tarra Lynn Pannullo Ma, Ncc NPPES

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

TARRA LYNN PANNULLO MA, NCC (NPI 1679965438) is an individual mental health provider in Pembroke Pines, Florida, licensed in Florida (IMH21446) and active in the NPI registry since March 2015. She maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1679965438
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARRA LYNN PANNULLOCredential: MA, NCC
Location Address9000 SHERIDAN STPembroke Pines, FL 33024-8802
Mailing Address1800 Mercy DrOrlando, FL 32808-5646 · (407) 875-3700 · Fax (407) 659-0411
Sole ProprietorNo
Enumeration DateMarch 3, 2015
Last NPPES UpdateAugust 17, 2022
NPPES CertifiedAugust 3, 2022
NPI 1679965438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · IMH21446
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
9000 SHERIDAN ST, Pembroke Pines, FL 33024

Other Names 1

Former Name (1)Tarra Lane

Secondary Practice Location 1

Location 11800 Mercy DrOrlando, FL 32808-5646 · Phone (407) 875-3700 · Fax (407) 659-0411

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Counselor (Addiction (Substance Use Disorder))
9000 SHERIDAN ST, SUITE 175
PEMBROKE PINES, FL 33024
Marriage & Family Therapist
9000 SHERIDAN ST, SUITE # 172
PEMBROKE PINES, FL 33024
Social Worker (Clinical)
9000 SHERIDAN ST, SUITE 175
PEMBROKE PINES, FL 33024
Counselor (Mental Health)
9000 SHERIDAN ST, SUITE 110
PEMBROKE PINES, FL 33024
Supports Brokerage
9000 SHERIDAN ST
PEMBROKE PINES, FL 33024
Counselor (Mental Health)
9000 SHERIDAN ST, SUITE 110
PEMBROKE PINES, FL 33024
Counselor (Mental Health)
9000 SHERIDAN ST
PEMBROKE PINES, FL 33024
Psychologist (Clinical)
9000 SHERIDAN ST, SUITE 121
PEMBROKE PINES, FL 33024

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 Tarra Pannullo's NPI number?

The NPI number for Tarra Pannullo is 1679965438. It was assigned to this individual provider in the NPPES registry on March 3, 2015. The provider is also known as Tarra Lane.

Where is Tarra Pannullo located?

Tarra Pannullo practices at 9000 Sheridan St, Pembroke Pines, FL 33024. The listed phone number is (954) 440-6386.

What is Tarra Pannullo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Tarra Pannullo accept?

Health plans from UnitedHealthcare list Tarra Pannullo 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 Tarra Pannullo was last updated on August 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.