Individual ProviderTara ReinertsonMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5480 College Ave, Oakland, CA 94618-1552(510) 496-3440PECOS EnrollmentBased on the most recent information from CMS, provider Tara Reinertson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1336579630Provider TypeIndividualFull NameReinertson, TaraCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date11/22/2013Last Updated11/22/2013Contact InformationPractice LocationPractice Address5480 College Ave, Oakland, CA 94618-1552Phone(510) 496-3440FaxUnlisted FaxMailing LocationMailing Address5480 College Ave, Oakland, CA 94618-1552Phone(510) 496-3440FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense50723California