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TARA ANN FORNUTO MED, LPC
NPI 1851942213
Counselor - Professional in Glastonbury, CT

Active since September 26, 2019PECOS Enrolled
148 EASTERN BLVD STE 200, GLASTONBURY, CT 06033(860) 815-8991 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2024, Sep 29, 2020, Sep 26, 2019 (3 updates tracked since 2019).

About Tara Ann Fornuto Med, Lpc NPPES

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

TARA ANN FORNUTO MED, LPC (NPI 1851942213) is an individual professional provider in Glastonbury, Connecticut, licensed in Connecticut (5088) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851942213
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTARA ANN FORNUTOCredential: MED, LPC
Location Address148 EASTERN BLVD STE 200Glastonbury, CT 06033-4321
Mailing Address148 Eastern Blvd Ste 200Glastonbury, CT 06033-4321 · (860) 815-8991
Phone(860) 815-8991
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1851942213 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 CT · 5088
148 EASTERN BLVD STE 200, Glastonbury, CT 06033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Ann Fornuto Med, Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Fornuto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union Cognitive Care, PC
Same address
Mental Health
148 EASTERN BLVD STE 200
Glastonbury, CT 06033
  • Reassigned Medicare billing, Connecticut enrollment
  • 26 clinicians in this Medicare group
NPI 1649979832 (860) 559-9398

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

ALYSSA LEE PATENAUDE MS, LMFT
Marriage & Family Therapist
148 EASTERN BLVD STE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 815-8991
MRS. MUI MUI HIN-MCCORMICK MS, LMFT
Marriage & Family Therapist
148 EASTERN BLVD STE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 269-3584
MEGAN GRACE HOLLISTER
Social Worker
148 EASTERN BLVD STE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 815-8991
ROSS EISNER
Counselor (Professional)
148 EASTERN BLVD STE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 815-8991
KATELYNN BLAIR GRABOWSKI MS, LPC
Counselor (Professional)
148 EASTERN BLVD STE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 815-8991
UNION COGNITIVE CARE, PC
Counselor (Mental Health)
148 EASTERN BLVD STE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 559-9398
KARIN ANNE GRIFFIN LCSW
Social Worker (Clinical)
148 EASTERN BLVD STE 200
GLASTONBURY, CT 06033
Capitol Planning Region (860) 269-0282

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 Fornuto's NPI number?

The NPI number for Tara Fornuto is 1851942213. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Tara Fornuto located?

Tara Fornuto practices at 148 Eastern Blvd Ste 200, Glastonbury, CT 06033. The listed phone number is (860) 815-8991.

What is Tara Fornuto's specialty?

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

Is Tara Fornuto enrolled in Medicare?

Yes. Tara Fornuto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Fornuto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Fornuto reassigns Medicare benefits to Union Cognitive Care, PC (Glastonbury, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Fornuto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Fornuto was last updated on June 20, 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.