Angie Tavares, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

227884 Issued in MA

Practice address

965 Church St
New Bedford, MA 02745-1400

Phone

(508) 996-3154

NPI assigned

Jun 12, 2023

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1194803288
  Medicare reassignment NPD
• Child & Family Services, Inc.

  • Mental Health Counselor
  • New Bedford, MA
  • NPI 1205813540
  NPD
• The Commonwealth of Massachusetts

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1154005007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 CHURCH ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451400",
            "telephone_number": "508-996-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 CHURCH ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451400",
            "telephone_number": "508-996-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "ANGIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "227884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyla Marie Talavera
• Ria M Talwar
• Danielle Marie Tanque, F.N.P.-C, PMHNP-BC
• Deidra Tansey
• Peter Tatarian, RPH
• Elizabeth Tavares
• Jenny Tavares, RN
• Kayla Tavares
• Stacy Marie Tavares
• Ashley Taylor

• Mental Health Counselor in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.