Tara D. Ancrum, LPC
NPI 1275086480ActiveIndividual· Counselor, Professional· Hollywood, SC
Counselor, Professional (LPC) with University Medical Associates of the Medical University of South Carol, practicing in Hollywood, South Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1275086480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Jul 25, 2016 |
| Last updated in NPPES | Apr 21, 2022 |
| Certified by provider | Apr 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6589 | SC |
| Counselor, Mental Health | 101YM0800X | 6589 | SC |
| Counselor, Mental Health | 101YM0800X | 6126 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (SC) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- University Medical Associates of the Medical University of South CarolCharleston, SC · 1,668 clinicians
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