THE TABOR THERAPY GROUP, INC. (NPI# 1023546710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023546710 |
| Entity Type | Organization |
| Organization Name | THE TABOR THERAPY GROUP, INC. |
| Practice Address |
5404 W Elm St Ste H Mchenry IL 60050-4007 |
| Practice Telephone | 8153318768 |
| Practice Fax Number | 8153318760 |
| Mailing Telephone | 8153318768 |
| Mailing Fax Number | 8153318760 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | JENNIFER ANN TABOR (OWNER/THERAPIST) |
| Authorized Official Telephone | 8153318768 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | THE TABOR THERAPY GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B17-IPI-002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-11-13 |
| 1194360164 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-11-13 |
| 1457841660 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-05-14 |
| Street Address |
5404 W ELM ST STE H |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699783803 | Gayle Saturday | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2006-08-03 |
| 1699389643 | Summer Brunson | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-09-06 |
| 1962016915 | Samantha Rahn | Social Worker | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-09-06 |
| 1801408182 | Betty Villagomez | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-08-19 |
| 1568001295 | Patti Ann Peschke | Social Worker | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-12-28 |
| 1740825710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-11-13 |
| 1194360164 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2019-11-13 |
| 1982186359 | Michael Gerber | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-09-03 |
| 1457841660 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-05-14 |
| 1932509668 | Betsy Gilpin | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2014-08-29 |
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|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932754447 | Association for Individual Development | Clinic/Center | 3512 Pearl St, Mchenry, IL 60050-4442 | 2019-08-02 |
| 1114457850 | The Tabor Therapy Group, Inc | Clinic/Center | 5400 W Elm St Suite 104, Suite 104, Mchenry, IL 60050-6005 | 2017-06-15 |
| 1598912149 | Mchenry County Mental Health Board | Clinic/Center | 5320 W Elm St, Mchenry, IL 60050-4029 | 2008-08-26 |
| 1538650692 | Sutton Smith | Clinic/Center | 5342 W Elm St, Mchenry, IL 60050-4029 | 2018-05-24 |
| 1457841660 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-05-14 |
| 1063773372 | North Central Behavioral Health Systems, Inc | Clinic/Center | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2012-06-04 |
| 1437424116 | North Central Behavioral Health Systems,inc. | Clinic/Center | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2012-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.