Active NPI
Mary Patia Rae Tabar, LPC, LPCA
- Mental Health Counselor
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1600055
- Practice address
- 10296 Springfield Pike Ste 500
Cincinnati, OH 45215-1194 - Phone
- (513) 325-7487
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 169225 | KY | |
| Mental Health Counselor | 101YM0800X | C.1600055 | OH | Primary |
Addresses
Primary practice location
10296 Springfield Pike Ste 500
Cincinnati, OH 45215-1194
Mailing address
PO Box 1305
Florence, KY 41022-1305
Phone (513) 326-7487
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691
720 N Marr Rd
Columbus, IN 47201-6660
Phone (812) 314-3400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169225 | KY | MD | Mental Health Counselor |
| C.1600055 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Indiana, Inc. | Current | Accepting new patients | |
| Centerstone of Indiana, Inc. | Current | Accepting new patients |
Locations
1315 Hillcrest Rd
Bedford, IN 47421
Phone (812) 279-3591
645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691
720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400
952 S Main St
Martinsville, IN 46151
Phone (765) 342-3316
1156 Old State Road 46
Nashville, IN 47448
Phone (812) 988-2258
831 Dillon Dr
Richmond, IN 47374
Phone (765) 983-8000
35 Bob Babbs Dr
Spencer, IN 47460
Phone (812) 652-1700
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1992781470
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1972320224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498435200000",
"number": "1275053746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1305",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410221305",
"telephone_number": "513-326-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10296 SPRINGFIELD PIKE STE 500",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452151194",
"telephone_number": "513-325-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABAR",
"first_name": "MARY PATIA",
"middle_name": "RAE",
"credential": "LPC, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "169225",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1600055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.