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TARA PETTIT DELOACH LMFT
NPI 1790002947
Marriage & Family Therapist in Augusta, GA

Active since April 28, 2010Opted out of Medicare · through Sep 22, 2027
930 STEVENS CREEK RD STE 1, AUGUSTA, GA 30907(706) 343-3661 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Pettit Deloach Lmft NPPES

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

TARA PETTIT DELOACH LMFT (NPI 1790002947) is an individual marriage & family therapist in Augusta, Georgia, licensed in Georgia (MFT001470) and active in the NPI registry since April 2010. She has opted out of Medicare through September 22, 2027 and is a graduate of Other (2008).

NPPES Registry Identity

NPI1790002947
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTARA PETTIT DELOACHCredential: LMFT
Location Address930 STEVENS CREEK RD STE 1Augusta, GA 30907-3200
Mailing Address930 Stevens Creek Rd Ste 1Augusta, GA 30907-3200 · (706) 343-3661
Phone(706) 343-3661
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 28, 2010
Last NPPES UpdateJanuary 1, 2024
NPPES CertifiedJanuary 1, 2024
✔ NPI 1790002947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in GA · MFT001470✔ Licensed in NC · 1313
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
930 STEVENS CREEK RD STE 1, Augusta, GA 30907
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Other Names 1

Former Name (1)Tara Pettit Lmft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tara Pettit Deloach Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 22, 2025 through September 22, 2027.

Opt-Out Effective DateSeptember 22, 2025
Opt-Out In Effect ThroughSeptember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Deloach's NPI number?

The NPI number for Tara Deloach is 1790002947. It was assigned to this individual provider in the NPPES registry on April 28, 2010. The provider is also known as Tara Pettit Lmft.

Where is Tara Deloach located?

Tara Deloach practices at 930 Stevens Creek Rd Ste 1, Augusta, GA 30907. The listed phone number is (706) 343-3661.

What is Tara Deloach's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tara Deloach enrolled in Medicare?

No. Tara Deloach has opted out of Medicare through September 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tara Deloach was last updated on January 1, 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.