Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083057566 Individual Practitioner Female Practitioner

Tara A Smith , EDS, LPC, NCSP

Counselor • Moore, OK

Professional Overview & Biography Verified Profile Summary

Tara Smith, EDS, LPC, NCSP is a registered healthcare professional specializing in Counselor in Moore, OK. Practice services are available at 501 SE 4TH ST STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Se 4th St Ste C

Moore, OK 731606831

Telephone 4056538012
Fax 8777159937
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
85 Specialists

Practicing in Moore, OK (4611 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-03-04
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OK LPC07270

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License AR 12-49 AE-PL

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Secondary Practice Locations

624 Sw 159th Ter

Oklahoma City, OK 731707626

Phone: 4056537269

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kaitlyn Bauer , MCMHC

Counselor - Mental Health

NPI 1407652100

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location March 04, 2025

Registered at 501 SE 4TH ST STE C, MOORE, OK 731606831 (Tel: 4056538012)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Psychologist (License #12-49 AE-PL in AR)

📍
Updated Practice Location January 30, 2023

Registered at 624 SW 159TH TER, OKLAHOMA CITY, OK 731707626 (Tel: 4056537269)

📍
Updated Business Mailing Address January 30, 2023

Registered at 624 SW 159TH TER, OKLAHOMA CITY, OK 731707626 (Tel: 4056537269)

👤
Provider Name / Credentials Updated January 30, 2023

Recorded as TARA SMITH, ED.S, LPC, NCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2023

Counselor

📍
Updated Practice Location February 12, 2022

Registered at 31720 LANDRUN AVE, NORMAN, OK 730729666 (Tel: 4056537269)

📍
Updated Business Mailing Address February 12, 2022

Registered at 31720 LANDRUN AVE, NORMAN, OK 730729666 (Tel: 4056537269)

👤
Provider Name / Credentials Updated February 12, 2022

Recorded as TARA COOPER, ED.S, LPC, NCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2022

Developmental Therapist

NPI Profile Active March 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2015

Registered at 1200 JAMES STREET, JACKSONVILLE, AR 72076 (Tel: 5019825000)

📍
Updated Business Mailing Address March 25, 2015

Registered at 1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404 (Tel: 8709336886)

👤
Provider Name / Credentials Updated March 25, 2015

Recorded as TARA SMITH, ED.S, LAC, NCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2015

Counselor

🟢
Initial NPI Registration & Enumeration April 15, 2013

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: 1083057566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2013
Last Update: March 04, 2025
Sole Proprietor: Yes

Mailing Address

624 Sw 159th Ter

Oklahoma City, OK 731707626

Phone: 4056537269

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.