Individual provider · Type 1 NPI

Tara Chase, LPC

Professional Counselor · Edmond, OK

NPI number 1124966346 Active

Practice location

1600 E 19th St Ste 404
Edmond, OK 73013-6624

Call (405) 510-0852 Map

Mailing address

16017 Sheffield Blvd
Edmond, OK 73013-2043

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11733 (OK)

Professional Counselor: Definition to come...

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About NPI 1124966346

Tara Chase, LPC's National Provider Identifier is 1124966346, issued on Mar 23, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edmond, OK. The record was last updated on Mar 23, 2026.