Eric Anthony Taveras, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5281 Issued in CT

Practice address

27 Crows Nest LN Unit 17J
Danbury, CT 06810-2016

Phone

(203) 300-0780

NPI assigned

Dec 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Eric Anthony Taveras Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1104584507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CROWS NEST LN UNIT 17J",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068102016",
            "telephone_number": "203-300-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CROWS NEST LN UNIT 17J",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068102016",
            "telephone_number": "203-300-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "5281",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "TAVERAS",
            "middle_name": "ANTHONY",
            "prefix": "MR.",
            "credential": "ERIC TAVERAS MS,LPCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dorothy Hoi-Yu Tang, MSN, RN, CPNP-PC
• Herbert Tang
• Brian Tannenbaum, LMSW
• Jacqueline Taormina
• Jessica Tavares
• Evelin Taveras, CVT
• Raquel Taveras, BA
• Zied Michael Taweh, MD
• Dany Tawk, D.M.D
• Lisa Marie Taylor, RPH

• Mental Health Counselor in Danbury, CT
• Providers in Danbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.