Individual provider Active NPI

Alfred Anthony Tabaks, LPC

  • Mental Health Counselor
  • Irving, TX
National Provider Identifier
1992425250
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82054 Issued in TX
Practice address
3636 N Macarthur Blvd Ste 160
Irving, TX 75062-3601
Phone
(972) 375-1200
NPI assigned
Aug 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82054 TX Primary

Addresses

Primary practice location

3636 N Macarthur Blvd Ste 160
Irving, TX 75062-3601

Mailing address

1908 Leighton Dr
Arlington, TX 76015-3225
Phone (817) 247-9786

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

LicenseStateTypeSpecialty
82054TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holman Family Services LLC Mental Health CurrentSince Sep 4, 2022 Accepting new patients
Greater Restoration Counseling Mental Health CurrentSince Sep 24, 2023 Accepting new patients

Locations

204 S Mesquite St
Ste C
Arlington, TX 76010
Phone (682) 999-8663

3636 N MacArthur Blvd
Ste 160
Irving, TX 75062
Phone (972) 375-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1992425250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 LEIGHTON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153225",
            "telephone_number": "817-247-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N MACARTHUR BLVD STE 160",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623601",
            "telephone_number": "972-375-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAKS",
        "first_name": "ALFRED",
        "middle_name": "ANTHONY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.