Individual provider Active NPI

Rebecca Anne Tavangar

  • Professional Counselor
  • Malvern, PA
National Provider Identifier
1568945996
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010594 Issued in PA
Practice address
1879 Covered Bridge Rd
Malvern, PA 19355-9761
Phone
(610) 755-2254
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC010594 PA Primary

Addresses

Primary practice location

1879 Covered Bridge Rd
Malvern, PA 19355-9761

Mailing address

1879 Covered Bridge Rd
Malvern, PA 19355-9761
Phone (610) 755-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250523000352 PA Practitioner - Mental Health Counselor 2961921853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology and Counseling Associates, PCGroup PAC ID 9335127067, 40 clinicians

Practice addresses (Care Compare)

2091 E High St
Pottstown, PA 19464-3211
Phone (610) 970-5234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC010594PAMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1568945996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 COVERED BRIDGE RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559761",
            "telephone_number": "610-755-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 COVERED BRIDGE RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559761",
            "telephone_number": "610-755-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVANGAR",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.