Healthcare Provider Details
I. General information
NPI: 1851811228
Provider Name (Legal Business Name): TARSA BARNES LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2017
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
191 S BUENA VISTA ST STE 300
BURBANK CA
91505-4556
US
IV. Provider business mailing address
5849 CROCKER ST UNIT L
LOS ANGELES CA
90003-1311
US
V. Phone/Fax
- Phone: 925-282-1778
- Fax:
- Phone: 323-234-4445
- Fax: 323-234-4477
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 19835 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 19835 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: