Julia Hughes Tabor, MA, LPC – Professional Counselor

Key facts

NPI: 1194923136
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 6630 (NC)
Practice address: 2207 Delaney Dr
Ste 107
Burlington, NC 27215-5263
Phone: (336) 684-9951
Fax: (336) 513-0554
NPI assigned: Jul 10, 2007
Sex: Female
Sole proprietor: Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
6630	NC	MD	General Practice Dentistry

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	6630	NC	Yes

Addresses

Primary practice location

2207 Delaney Dr
Ste 107
Burlington, NC 27215-5263

Mailing address

2614 Cambridge Rd
Burlington, NC 27215-8804
Phone (336) 684-9951

Other identifiers

Identifier	Type	State	Issuer
6103650	Medicaid	NC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 22, 2008.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1194923136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 CAMBRIDGE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158804",
            "telephone_number": "336-684-9951",
            "fax_number": "336-513-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 DELANEY DR",
            "address_2": "STE 107",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155263",
            "telephone_number": "336-684-9951",
            "fax_number": "336-513-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "JULIA",
        "middle_name": "HUGHES",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103650",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

All providers in Burlington, NC · Professional Counselor in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.