SARA M TAVORA LLMSW NPI 1003001819

Counselor (Mental Health) in Port Huron, MI

About SARA TAVORA

Sara Tavora is a provider in Port Huron, MI with more than 12 years of experience. The NPI number assigned to this provider is 1003001819. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 11 years ago. Sara Tavora is registered with Medicare and accepts claims assignment.

NPI	1003001819 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	SARA M TAVORA LLMSW
Provider Location Address	520 SUPERIOR ST PORT HURON, MI 48060 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	520 SUPERIOR ST PORT HURON, MI 48060 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School Name	OTHER
Graduation Year	2007
Is Sole Proprietor?	Yes
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-14-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-14-2007 Last update date The date that a record was last updated or changed.

Business Address

SARA M TAVORA LLMSW
520 SUPERIOR ST
PORT HURON, MI
ZIP 48060
Phone: (810) 984-4202
Fax: (810) 984-8896

Map Location

Get Directions

Mailing Address

SARA M TAVORA LLMSW
520 SUPERIOR ST
PORT HURON, MI
ZIP 48060
Phone: (810) 984-4202
Fax: (810) 984-8896

Primary Taxonomy

Taxonomy Code	101YM0800X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Counselor
Type	Behavioral Health & Social Service Providers
Specialization	Mental Health
License No.	6801089286
License State	MI

Medicare Participation

Registered in PECOS?	Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID	8123284411
PECOS Enrollment ID	I20120801000428
Accepts Medicare Assignment?	Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Other Providers at the same location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1013013432	KARI KATHLEEN TREMPLER LLPC Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1033152459	LYNNE M ANDERSON Individual	Social Worker (Clinical)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1114067089	MISS HEATHER LYNN SCHOLFIELD M.A., L.L.P. Individual	Psychologist (Counseling)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1184738676	LAURA W FADELL LLP Individual	Psychologist (Clinical)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1225049760	PROFESSIONAL COUNSELING CENTER,P.C. Organization	Counselor (Addiction (Substance Use Disorder))	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1275646127	NANCY A PFEIFER LBSW Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1295746022	RICHARD JAY BOSSCHER LMSW Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1366555286	MICHELLE M ROUSSEAU PSY.D. Individual	Psychologist (Clinical)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1396858304	DR. PATRICIA A AVIGNONE PH.D. Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1437262342	KIRSTEN T VAZQUEZ LMSW Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1487767380	ALISA K NELSON LLP Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1568575165	KATHRYN M RANN LMSW Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1780797571	THOMAS P POPE LLP Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1851404875	REGINA M FRIEDMANN MSW, LMSW Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1861505802	ELLEN M KEYSER LPC Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1881707883	LISA E MARTIN LMSW Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1922111723	KARRIE J PAWSON LPC Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1962515577	THOMAS A SEILHEIMER PH.D. Individual	Psychologist (Clinical)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1962515981	LINDA MARY HERNANDEZ LPC Individual	Counselor (Mental Health)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202
1972722080	KELLY ANN COLE LLMSW Individual	Social Worker (Clinical)	520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202

Previous NPI
1003001801

Next NPI
1003001827