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 |
| Provider Name | SARA M TAVORA LLMSW |
| Provider Location Address | 520 SUPERIOR ST PORT HURON, MI 48060 |
| Provider Mailing Address | 520 SUPERIOR ST PORT HURON, MI 48060 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-14-2007 |
| Last Update Date | 09-14-2007 |
Primary Taxonomy
| Taxonomy Code | 101YM0800X |
| Classification | Counselor |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Mental Health |
| License No. | 6801089286 |
| License State | MI |
Business Address
SARA M TAVORA LLMSW
520 SUPERIOR ST
PORT HURON, MI
ZIP 48060
Phone: (810) 984-4202
Fax: (810) 984-8896
Mailing Address
SARA M TAVORA LLMSW
520 SUPERIOR ST
PORT HURON, MI
ZIP 48060
Phone: (810) 984-4202
Fax: (810) 984-8896
Medicare Participation
What is PECOS?Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2016. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 78Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)
- 14Psychiatric diagnostic evaluation (HCPCS:90791)
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 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
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
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.