THE TABOR THERAPY GROUP, INC (NPI# 1629480587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629480587 |
| 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 | 2014-05-27 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | MRS. JENNIFER TABOR (OWNER/THERAPIST) |
| Authorized Official Telephone | 8155295933 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | 149.011675 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003435934 | The Tabor Therapy Group, Inc | Clinic/Center | 12151 Regency Pkwy Ste 12169, Huntley, IL 60142-7644 | 2020-04-10 |
| 1114457850 | The Tabor Therapy Group, Inc | Clinic/Center | 5400 W Elm St Suite 104, Suite 104, Mchenry, IL 60050-6005 | 2017-06-15 |
| 1619596541 | The Tabor Therapy Group, Inc | Clinic/Center | 12151 Regency Pkwy Ste 12169, Huntley, IL 60142-7644 | 2020-04-10 |
| 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 |
| 1023546710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2017-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749389 | Jessica Ann Earhart | Community/Behavioral Health | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2018-02-05 |
| 1720591274 | Amanda Joann Patton | Community/Behavioral Health | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2017-11-07 |
| 1427568153 | Cynthia Ann Jimenez | Community/Behavioral Health | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2017-10-09 |
| 1922527290 | Guadalupe Cardoso | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-09-18 |
| 1801248414 | Association for Individual Development | Community/Behavioral Health | 5342 W Elm St, Mchenry, IL 60050-4029 | 2016-07-07 |
| 1750736773 | Association for Individual Development | Community/Behavioral Health | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2016-04-27 |
| 1124482138 | Aid | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2016-04-06 |
| 1104242551 | Megan Burgess-garica | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2014-03-10 |
| 1023434495 | Pioneer Center for Human Services | Community/Behavioral Health | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2014-03-10 |
| 1376988451 | Abby Kwayzer | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-05-02 |
| Find all providers in MCHENRY | ||||
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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.