Active NPI
Rached Zouhair Tabbara, MSED LPC
- Mental Health Counselor
- Warren, OH
National Provider Identifier
1962616029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C0600137
- Practice address
- 318 Mahoning Ave NW
Warren, OH 44483 - Phone
- (330) 395-9563
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | C0600137 | OH | Primary |
Addresses
Primary practice location
318 Mahoning Ave NW
Warren, OH 44483
Mailing address
242 Oakley Ave
Boardman, OH 44512
Phone (330) 758-7343
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 |
|---|---|---|---|
| C0600137 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962616029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 OAKLEY AVE",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "44512",
"telephone_number": "330-758-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 MAHONING AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "44483",
"telephone_number": "330-395-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBARA",
"first_name": "RACHED",
"middle_name": "ZOUHAIR",
"credential": "MSED LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C0600137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.