Ansel Oliver Tauber

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

23-QMHPC-001268 Issued in OR

Practice address

2020 Thompson Rd
Coos Bay, OR 97420-2041

Phone

(541) 267-3511

NPI assigned

Nov 13, 2018

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Catherine Tauber 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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1306315957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NEBRASKA AVE BLDG A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275700",
            "telephone_number": "541-956-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202041",
            "telephone_number": "541-267-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBER",
        "first_name": "ANSEL",
        "middle_name": "OLIVER",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "23-QMHPC-001268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "TAUBER",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Lynn Swegle, QMHA
• Christina Marie Sy
• Jay Sylvester
• Synergy Medical Systems, Inc.
• Maria Tamborski, M.D
• Jenny V Tausch, APRN PMHNP
• Jodi Sue Tavernier, CHW
• Kcy Tavernier Sr.
• Kathrynn J Taylor
• Sandy Lynn Teeter, NP-PP AGNP

• Mental Health Counselor in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.