Active NPI
Hallie Tabor
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1861113367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84780
- Practice address
- 13720 Midway Rd Ste 106
Dallas, TX 75244-3416 - Phone
- (214) 949-7774
- NPI assigned
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84780 | TX | Primary |
Addresses
Primary practice location
13720 Midway Rd Ste 106
Dallas, TX 75244-3416
Mailing address
5757 Preston View Blvd Apt 118
Dallas, TX 75240-4699
Phone (214) 649-8751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84780 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1861113367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 PRESTON VIEW BLVD APT 118",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404699",
"telephone_number": "214-649-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13720 MIDWAY RD STE 106",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443416",
"telephone_number": "214-949-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABOR",
"first_name": "HALLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.