Tara A Furgason, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007357 Issued in IL

Practice address

4600 3Rd St
Moline, IL 61265-6106

Phone

(309) 779-3021

Fax

(309) 779-2027

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Care IncGroup PAC ID 9830008895, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rock Island, IL
  • NPI 1598759292
  Medicare reassignment Care Compare group NPD
• The Robert Young Center for Community Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Island, IL
  • NPI 1710276399
  Medicare reassignment NPD
• The Robert Young Center for Community Mental Health

  • Mental Health Counselor
  • Rock Island, IL
  • NPI 1972272516

  IA

  Medicare reassignment NPD
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Davenport, IA
  • NPI 1932193224
  Medicare reassignment NPD
• Community Health Care Inc

  dba Community Health Care Inc - Glenview Middle School

  • Federally Qualified Health Center (FQHC)
  • East Moline, IL
  • NPI 1669360459
  NPD
• Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • East Moline, IL
  • NPI 1477819886
  NPD
• Community Health Care, Inc.

  • Clinical Medical Laboratory
  • Davenport, IA
  • NPI 1649461310
  NPD
• The Robert Young Center for Community Mental Health

  dba Robert Young Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muscatine, IA
  • NPI 1063224426
  NPD

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1609105899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 3RD ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656106",
            "telephone_number": "309-779-3021",
            "fax_number": "309-779-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 3RD ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656106",
            "telephone_number": "309-779-3021",
            "fax_number": "309-779-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURGASON",
        "first_name": "TARA",
        "middle_name": "A",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamarra A Friedrichsen, AU.D.
• Front Lines Wellness QC LLC
• Ronald Dean Frus, MD
• Haley Funk
• Andrew Furgason, LCPC
• Kristina L Furne
• Rajeshwari Mohan Gadagkar, MD
• Susan K Gallagher, CRNA
• Julie A Gambon, PT
• Shannon Gambon, PT, DPT

• Professional Counselor in Moline, IL
• Providers in Moline, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.