The Tabor Therapy Group, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

060012029 Issued in IL

Legal business name

THE TABOR THERAPY GROUP, INC

Practice address

5400 W Elm St Suite 104
Suite 104
McHenry, IL 60050-6005

Phone

(815) 331-8768

Fax

(815) 331-8768

NPI assigned

Jun 15, 2017

Last updated

Jun 27, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

THE TABOR THERAPY GROUP, INCAs reported in NPPES

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

Authorized official

Name

Jennifer Tabor, LCSW

Title

Owner/Therapist

Phone

(815) 331-8768

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

The Tabor Therapy Group Inc

Locations

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1114457850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W ELM ST STE 104",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504032",
            "telephone_number": "815-331-8768",
            "fax_number": "815-331-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W ELM ST SUITE 104",
            "address_2": "SUITE 104",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600506005",
            "telephone_number": "815-331-8768",
            "fax_number": "815-331-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TABOR THERAPY GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE TABOR THERAPY GROUP, INC",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "815-331-8768",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "060012029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B17-IPI-002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Tabor Therapy Group, Inc.
• The Tabor Therapy Group, Inc.
• The Tabor Therapy Group, Inc.
• The Tabor Therapy Group, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in McHenry, IL
• Providers in McHenry, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.