Eduardo Tabor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002519A Issued in IN

Practice address

902 Virginia Ave
Indianapolis, IN 46203-1706

Phone

(317) 974-0256

Fax

(317) 974-0265

NPI assigned

Jun 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Health and Hospital Corporation of Marion CountyGroup PAC ID 6709795974, 239 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: etabor7979@direct.eskenazihealth.edu

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 Health and Hospital Corporation of Marion County

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1104027879
  Medicare reassignment Care Compare group NPD
• The Health and Hospital Corporation of Marion County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
  • NPI 1871311779
  NPD

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1225440704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 VIRGINIA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031706",
            "telephone_number": "317-974-0256",
            "fax_number": "317-974-0265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 Crawfordsville Rd Ste 2201",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462243784",
            "country_code": "US",
            "telephone_number": "317-244-2792",
            "fax_number": "317-243-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002519A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etabor7979@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "5610 Crawfordsville Rd Ste 2201",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462243784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James H Taber, RPH
• Tim E Taber III, M.D.
• Jo M Tabler, MSN,RN, AGCNS-BC
• Lily Tabler
• Akia Tabor, RBT, BS
• McKinnah Tabor
• Patricia Tackett Vanhorn, SLP
• Eduardo Emmanuel Jr Endaya Tacolod
• Tadamtol Homecare LLC
• Athena Florence Belano Tadas, MD

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.