Individual provider Active NPI

Mary Patia Rae Tabar, LPC, LPCA

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1275053746
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1600055 Issued in OH
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

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119000255 IN Practitioner - Mental Health Counselor 1658723259 Reassigns benefits to 1 organization

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
Centerstone of Indiana IncGroup PAC ID 9436138427, 114 clinicians

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

LicenseStateTypeSpecialty
169225KYMDMental Health Counselor
C.1600055OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. Current Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.