Heather Lynn Tavares

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC017710 Issued in PA

Practice address

1628 Chew St FL 3
Allentown, PA 18102-3649

Phone

(610) 969-2529

Fax

(610) 969-4332

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Reddy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1285456087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 CHEW ST FL 3",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023649",
            "telephone_number": "610-969-2529",
            "fax_number": "610-969-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 7017",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181057017",
            "country_code": "US",
            "telephone_number": "484-735-0251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "REDDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas E Tatalias, M.D.
• Servet Tatli, MD
• Caley A Tatrn, DNP, CRNP
• Paula Tattersall
• John K Taus, DO
• Jose Angel Tavares Jr., COUNSELOR
• Deyaniris Ramona Taveras
• Wilma Maric Taveras, OTR/L
• Ju Lee Tay, MD
• Taylor & Associates, LLC

• Mental Health Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.