Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164757399 Individual Practitioner Female Practitioner

Tarah Jean Kidd , MA

Counselor - Professional • Williamsburg, KY

Professional Overview & Biography Verified Profile Summary

Tarah Kidd, MA is a registered healthcare professional specializing in Counselor - Professional in Williamsburg, KY. Practice services are available at 65 N HIGHWAY 25 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

65 N Highway 25 W

Williamsburg, KY 407691540

Telephone 6065490123
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Williamsburg, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Williamsburg, KY (2199 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License KY 243668

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License VA 0701008317

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40588671 (TN)
Medicaid State Provider ID
1164757399 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1568435212

Doctor of Osteopathic Medicine (D.O.)

NPI 1629089297

Doctor of Chiropractic

Patricia Dozier

Nurse Practitioner - Family

NPI 1720636228
NPI 1902817570

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address March 07, 2023

Registered at PO BOX 1721, LA FOLLETTE, TN 377661721 (Tel: 8597556871)

📍
Updated Practice Location October 17, 2022

Registered at 65 N HIGHWAY 25 W, WILLIAMSBURG, KY 407691540 (Tel: 6065490123)

📍
Updated Business Mailing Address October 17, 2022

Registered at PO BOX 1783, CHESAPEAKE, VA 233271783 (Tel: 7575106567)

📍
Updated Practice Location April 22, 2020

Registered at 11745 JEFFERSON AVE, NEWPORT NEWS, VA 236064410 (Tel: 7579135920)

📍
Updated Business Mailing Address April 22, 2020

Registered at PO BOX 5362, PORTSMOUTH, VA 23703 (Tel: 4349417513)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2020

Counselor (License #0701008317 in VA)

NPI Profile Active December 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2016

Registered at 1203 AMERICAN GREETING CARD RD, CORBIN, KY 407014811 (Tel: 6065287010)

📍
Updated Business Mailing Address December 30, 2016

Registered at 415 KY 225, BARBOURVILLE, KY 409060568 (Tel: 8592092340)

👤
Provider Name / Credentials Updated December 30, 2016

Recorded as TARAH KIDD, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2016

Counselor

🟢
Initial NPI Registration & Enumeration October 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164757399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2009
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

Po Box 1721

La Follette, TN 377661721

Phone: 8597556871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.