Tara Ketteringham, LCPC
NPI 1104389071 · Professional Counselor · Frederick, MD
Tara Ketteringham, LCPC is a Professional Counselor provider in Frederick, MD (NPI 1104389071).
Provider details
- NPI number
- 1104389071
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC12334 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Frequently asked questions
- What is Tara Ketteringham's NPI number?
- Tara Ketteringham's National Provider Identifier (NPI) is 1104389071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Ketteringham's specialty?
- Tara Ketteringham is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Tara Ketteringham located?
- Tara Ketteringham's practice location on file with NPPES is 5412 Old National Pike, Frederick, MD 21702-3640.
- What is Tara Ketteringham's phone number?
- The practice phone number listed in the NPPES registry for Tara Ketteringham is (240) 490-0256.
- Is Tara Ketteringham's NPI active?
- Yes — Tara Ketteringham's NPI (1104389071) is active in the NPPES registry as of the last update on 2023-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.