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Tarah Jo Vershum

Behavior Analyst β€’ Adrian, MI

Active NPI 1639695125 Individual Practitioner Female Practitioner
Practice location in NPPES

1040 S Winter St Ste 1022
Adrian, MI 492213876

Call 5172638905 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1040 S Winter St Ste 1022

Adrian, MI 492213876

Telephone 5172638905
Fax 5172658237
Organization at the Same NPPES Address or Phone
Lenawee Community Mental Health Authority Facility NPI 1912227570

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Adrian and Michigan

8 active clinicians are listed under Behavior Analyst with a practice address in Adrian, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Moina Hassan , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1467535906

Doctor of Medicine (M.D.)

Amber Monahan , LLBSW QMRP

Social Worker - Clinical

NPI 1033456397

LLBSWQMRP

Dr. Manish Prasad , MD

Psychiatry & Neurology - Psychiatry

NPI 1558395947

Doctor of Medicine (M.D.)

Dr. Luven Marie Tejero , MD

Psychiatry & Neurology - Psychiatry

NPI 1659421915

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 19, 2025

Registered at 1040 S WINTER ST STE 1022, ADRIAN, MI 492213876 (Tel: 5172638905)

πŸ“
Updated Business Mailing Address August 19, 2025

Registered at 6762 GOVE CT N, TECUMSEH, MI 492869564 (Tel: 3076807416)

βœ…
NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 16, 2017

Registered at 4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 731055107 (Tel: 4054250364)

πŸ“
Business Mailing Address (Initial Record) August 16, 2017

Registered at 3405 CANTON TRL, YUKON, OK 730994184 (Tel: 13076807416)

πŸ‘€
Provider Name / Credentials (Initial Record) August 16, 2017

Recorded as TARAH VERSHUM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 16, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639695125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2017
Last Update: August 19, 2025
Sole Proprietor: No

Mailing Address

6762 Gove Ct N

Tecumseh, MI 492869564

Phone: 3076807416

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.