Individual provider Active NPI

Tamara L Sabo, LPCC, LCDCIII

  • Professional Counselor
  • Dover, OH
National Provider Identifier
1245675651
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0500580 Issued in OH
Practice address
547 1/2 S James St
Ste. a
Dover, OH 44622-2137
Phone
(330) 343-7400
Fax
(330) 343-7414
NPI assigned
Apr 30, 2013
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 081263 OH
Professional Counselor 101YP2500X E0500580 OH Primary

Addresses

Primary practice location

547 1/2 S James St
Ste. a
Dover, OH 44622-2137

Mailing address

PO Box 534
New Philadelphia, OH 44663-0534
Phone (330) 343-7400

Other identifiers 1

IdentifierTypeStateIssuer
0087448MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20241029002870 OH Practitioner - Mental Health Counselor 2163860735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081263OHMDAddiction (Substance Use Disorder) Counselor
E0500580OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Grace Counseling LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

547 S James St
Dover, OH 44622
Phone (330) 343-7400

547 S James St
#A
Dover, OH 44622
Phone (330) 343-7400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1245675651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446630534",
            "telephone_number": "330-343-7400",
            "fax_number": "330-343-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 1/2 S JAMES ST",
            "address_2": "STE. A",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222137",
            "telephone_number": "330-343-7400",
            "fax_number": "330-343-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "TAMARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LCDCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081263",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.