Emily Tabor Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMILY TABOR COUNSELING, PLLC

Practice address

160 NW Gilman Blvd Ste 443
Issaquah, WA 98027-2550

Phone

(206) 403-8527

NPI assigned

Jun 8, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Ann Tabor, LICSWNPI 1841866373

Title

Licsw, Business Owner

Phone

(206) 403-8527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Ann Tabor, LICSW

  • Clinical Social Worker
  • Issaquah, WA
  • NPI 1841866373
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1467029512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980381247",
            "telephone_number": "206-403-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW GILMAN BLVD STE 443",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272550",
            "telephone_number": "206-403-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY TABOR COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICSW,  BUSINESS OWNER",
        "authorized_official_telephone_number": "206-403-8527",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Elliot, MA SLP
• Dana Elliott
• Marc R Ellison, LICSWA
• Emerald Blossom
• Jamie Emerson, ATC, MA-R
• Empowerme Rehabilitation Wa, PC
• Empowerme Rehabilitation, LLC
• Endurance Foot and Ankle, LLC (Endurance Foot and Ankle)
• Cheyenne Enevold, MD
• Steven J Englander, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.