MS. TARA MAHONEY (NPI# 1073987046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073987046 |
| Entity Type | Individual |
| Full Name | MS. TARA MAHONEY |
| Credential | CADC II |
| Practice Address |
920 Sw Frazer Ave Pendleton OR 97801-2800 |
| Mailing Address |
920 Sw Frazer Ave # 219 Pendleton OR 97801-2800 |
| Practice Telephone | 5412761022 |
| Practice Fax Number | 5412151021 |
| Mailing Telephone | 5412761022 |
| Mailing Fax Number | 5412151021 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
00-11-47 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427826 | Tara Colleen Mahoney | Counselor | 158 Flocktown Rd, Long Valley, NJ 07853-3545 | 2020-05-01 |
| 1962860999 | Tara Mahoney | Nurse Practitioner | 2350 E Germann Rd, Ste 31, Chandler, AZ 85286-1579 | 2016-02-04 |
| 1619120938 | Tara Mahoney | Nurse Practitioner | 4 Technology Dr, East Setauket, NY 11733-4080 | 2008-10-30 |
| 1326121062 | Tara Ann Mahoney | Counselor | 859 Willard St, 340, Quincy, MA 02169-7482 | 2006-10-24 |
| 1750472163 | Tara L Mahoney | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2006-09-28 |
| Street Address |
920 SW FRAZER AVE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881739746 | Holly R Thau | Social Worker | 920 Sw Frazer Ave, Suite 124, Pendleton, OR 97801 | 2007-02-20 |
| 1225339096 | Levonne F Kountz | Counselor | 920 Sw Frazer Ave, Pendleton, OR 97801-2800 | 2010-11-10 |
| 1063604668 | C&r Consulting, LLC | Social Worker | 920 Sw Frazer Ave, Suite 102, Pendleton, OR 97801-2839 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264006 | Jocelyn S Whitfield | Counselor | 1279 William Beale Rd, Pendleton, NC 27862-7015 | 2020-10-26 |
| 1447725601 | Donald Dean Hamper Jr. | Counselor | 17 Sw Frazer Ave., Suite 282, Pendleton, OR 97801-9780 | 2018-10-03 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1528427572 | Donald James Smith | Counselor | 4705 Nw Pioneer Pl, Pendleton, OR 97801-9370 | 2016-02-18 |
| 1154619963 | Osoa Therapy | Counselor | 114 Se 1st St, Pendleton, OR 97801-2204 | 2011-07-13 |
| 1548419567 | Amy Rose Ashton-williams | Counselor | 115 Nw 6th St, Pendleton, OR 97801-1501 | 2008-09-15 |
| 1245432319 | Amy D. Hayes | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2007-06-01 |
| 1649889288 | Joanita Glavel Williamson | Counselor | 200 Se Hailey Ave Ste 204, Pendleton, OR 97801-3072 | 2020-07-29 |
| 1376166876 | Andrew David Laffie | Counselor | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-05-19 |
| 1295205383 | James B Rinehart | Counselor | 46314 Timine Way, Pendleton, OR 97801-9417 | 2018-11-30 |
| Find all providers in PENDLETON | ||||
Please comment or provide details below to improve the information on MS. TARA MAHONEY.
| 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.