The Tabor Therapy Group, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.011675 Issued in IL

Legal business name

THE TABOR THERAPY GROUP, INC

Practice address

5404 W Elm St Ste H
McHenry, IL 60050-4007

Phone

(815) 331-8768

Fax

(815) 331-8760

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Tabor, LCSW

Title

Owner/Therapist

Phone

(815) 529-5933

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1629480587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 W ELM ST STE H",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504007",
            "telephone_number": "815-331-8768",
            "fax_number": "815-331-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 W ELM ST STE H",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504007",
            "telephone_number": "815-331-8768",
            "fax_number": "815-331-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TABOR THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "815-529-5933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.011675",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyauna Nashe Terrell
• Justin Terry
• The Center for Corrective Eye Surgery, LLC
• The New Perspectives Spect Lab
• The Tabor Therapy Group, Inc
• The Tabor Therapy Group, Inc.
• The Tabor Therapy Group, Inc.
• The Tabor Therapy Group, Inc.
• The Tabor Therapy Group, Inc.
• The Thresholds

• Community/Behavioral Health Agency in McHenry, IL
• Providers in McHenry, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.