Individual provider Active NPI

Tamara Lynn Tabor-Glancy, M.ED., CRC, LPC

  • Professional Counselor
  • Mineral Ridge, OH
National Provider Identifier
1093917189
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.007903 Issued in OH
Practice address
1180 Salt Springs Rd
Mineral Ridge, OH 44440-9318
Phone
(330) 544-0490
Fax
(330) 544-1196
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.007903 OH Primary
Case Manager/Care Coordinator 171M00000X 00047987 CRC OH

Addresses

Primary practice location

1180 Salt Springs Rd
Mineral Ridge, OH 44440-9318

Mailing address

1180 Salt Springs Rd
Mineral Ridge, OH 44440-9318
Phone (330) 544-0490

Other practice location 1

5437 Mahoning Ave Ste 1
Youngstown, OH 44515-2421
Phone (330) 756-7695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C.007903OHMDProfessional Counselor
00047987 CRCOHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Connection Counseling, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1093917189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SALT SPRINGS RD",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409318",
            "telephone_number": "330-544-0490",
            "fax_number": "330-544-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SALT SPRINGS RD",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409318",
            "telephone_number": "330-544-0490",
            "fax_number": "330-544-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5437 Mahoning Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445152421",
            "country_code": "US",
            "telephone_number": "330-756-7695",
            "fax_number": "330-913-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR-GLANCY",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.007903",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "00047987  CRC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Ridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.