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TARA THOR
NPI 1447866447
Counselor - Mental Health in Moline, IL

Active since September 16, 2020PECOS Enrolled
2200 52ND AVE, MOLINE, IL 61265(309) 797-2900 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2024, Sep 16, 2020 (2 updates tracked since 2020).

About Tara Thor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA THOR (NPI 1447866447) is an individual mental health provider in Moline, Illinois and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447866447
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARA THOR
Location Address2200 52ND AVEMoline, IL 61265-6308
Mailing Address2200 52nd AveMoline, IL 61265-6308 · (309) 797-2900
Phone(309) 797-2900
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 16, 2020
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1447866447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2200 52ND AVE, Moline, IL 61265
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Thor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486090941
PECOS Enrollment IDI20260618000412
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINA LEONE NORDICK NP
Nurse Practitioner
2200 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
ERIN LEIGH PETREE L.C.P.C.
Counselor (Professional)
2200 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
ADVANCED CARDIOVASCULAR CONSULTANTS,SC
Specialist
2200 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 788-7522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Thor's NPI number?

The NPI number for Tara Thor is 1447866447. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Tara Thor located?

Tara Thor practices at 2200 52nd Ave, Moline, IL 61265. The listed phone number is (309) 797-2900.

What is Tara Thor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tara Thor enrolled in Medicare?

Yes. Tara Thor is registered in the Medicare PECOS enrollment system.

What insurance does Tara Thor accept?

Health plans from Providence Health Plan list Tara Thor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Thor was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.