Tara Mahoney, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00-11-47 Issued in OR

Practice address

920 SW Frazer Ave
Pendleton, OR 97801-2800

Phone

(541) 276-1022

Fax

(541) 215-1021

NPI assigned

Nov 13, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1073987046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW FRAZER AVE # 219",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012800",
            "telephone_number": "541-276-1022",
            "fax_number": "541-215-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW FRAZER AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012800",
            "telephone_number": "541-276-1022",
            "fax_number": "541-215-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "CADC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "00-11-47",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Danielle Maahs
• Kathleen A. Mace, R.PH.
• Christine A Mackenzie
• Danny Madore
• Amy R Madrigal-Bates
• Tracey Estelle Mahr, CRM
• Joann Faye Malumaleumu
• Susan Z Mangnall-Harris, L.C.S.W., PMHNP
• Katherine Marie Manning Stahl, R.D.H.
• Lillian E Maresca, MD

• Addiction (Substance Use Disorder) Counselor in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.