Individual provider Active NPI

William David Tafaro, LPC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1932675717
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-17949 Issued in AZ
Practice address
2509 S Power Rd
Mesa, AZ 85209-6695
Phone
(480) 912-4691
Fax
(480) 912-7317
NPI assigned
Oct 18, 2018
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-17949 AZ Primary
Mental Health Counselor 101YM0800X LAC-15799 AZ

Addresses

Primary practice location

2509 S Power Rd
Mesa, AZ 85209-6695

Mailing address

107 W Rawhide Ave
Gilbert, AZ 85233-6416
Phone (480) 740-8175

Other practice location 1

1425 W Elliot Rd Ste 201
Gilbert, AZ 85233-5142
Phone (480) 223-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240319003398 AZ Practitioner - Mental Health Counselor 3173960648 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
Core Balance Counseling LLCGroup PAC ID 1951746650, 5 clinicians

Practice addresses (Care Compare)

2509 S Power Rd
Suite 110
Mesa, AZ 85209-6696
Phone (480) 912-4691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-15799AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Balance Counseling, LLC Mental Health CurrentSince Feb 3, 2024 Accepting new patients
Gilbert Counselors, LLC Mental Health PastSince Jan 1, 2024 Accepting new patients

Locations

2509 S Power Rd
Ste 110
Mesa, AZ 85209
Phone (480) 912-4691

Organizations & group practices 2

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1932675717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W RAWHIDE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336416",
            "telephone_number": "480-740-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096695",
            "telephone_number": "480-912-4691",
            "fax_number": "480-912-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 W Elliot Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335142",
            "country_code": "US",
            "telephone_number": "480-223-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFARO",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-17949",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-15799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.