Tarah Lynn Groettum, MSED, LPCC
NPI 1417699901ActiveIndividual· Counselor, Professional· Eagan, MN
Counselor, Professional (MSED, LPCC) in Eagan, Minnesota, licensed in MN, with an NPI issued in April 2022. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1417699901 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSED, LPCC |
| Sole proprietor | No |
| NPI issued | Apr 13, 2022 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | CC03223 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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