MS. TARA MICHELLE TIVNAN (NPI# 1295860344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295860344 |
| Entity Type | Individual |
| Full Name | MS. TARA MICHELLE TIVNAN |
| Credential | LMHC |
| Practice Address |
111 Elm St Suite 102 Worcester MA 01609-1967 |
| Practice Telephone | 5087563750 |
| Practice Fax Number | 5087562729 |
| Mailing Telephone | 5087563750 |
| Mailing Fax Number | 5087562729 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4803 | MA | Behavioral Health & Social Service Providers |
| Street Address |
111 ELM ST SUITE 102 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374468 | Marshall Lawrence Horwitz | Dentist | 111 Elm St, Suite 101, Worcester, MA 01609-1967 | 2005-08-27 |
| 1720533748 | Ron Hsin | Dentist | 111 Elm St, Suite 203, Worcester, MA 01609-1967 | 2016-08-19 |
| 1699125708 | Common Park Dental | Dentist | 111 Elm St, Suite 203, Worcester, MA 01609-1967 | 2016-06-20 |
| 1144513144 | Elm Park Physical Therapy LLC | Physical Therapist | 111 Elm St, Suite 103, Worcester, MA 01609-1967 | 2011-05-24 |
| 1770800765 | Jennifer L Gorman | Physical Therapist | 111 Elm St, Suite 103, Worcester, MA 01609-1967 | 2010-04-29 |
| 1629219647 | Susan B. Horwitz | Speech-Language Pathologist | 111 Elm St, Suite 101, Worcester, MA 01609-1967 | 2009-03-20 |
| 1942498175 | J. R. Courtman Dmd | Dentist | 111 Elm St, Suite 202, Worcester, MA 01609-1967 | 2007-10-12 |
| 1487848362 | Elliot W Salloway | Dentist | 111 Elm St, Suite 203, Worcester, MA 01609-1967 | 2007-09-04 |
| 1871633487 | Herbert Charles Rosen | Dentist | 111 Elm St, 201, Worcester, MA 01609-1967 | 2007-02-06 |
| 1932249547 | David C. Tucker D.d.s. Herbert C. Rosen D.m.d. PC | Dentist | 111 Elm St, 201, Worcester, MA 01609-1967 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834847 | Brenna Morgan | Counselor | 2 Duncannon Ave Apt 9, Worcester, MA 01604-5139 | 2020-09-01 |
| 1043820384 | Dylan Gibbons | Counselor | 62 Wedgewood Rd, Worcester, MA 01602-1027 | 2020-08-02 |
| 1457977316 | Taylor Neil | Counselor | 2 Norton St, Worcester, MA 01605-3311 | 2020-06-17 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1932746708 | Jason Boyle | Counselor | 495 Grove St, Worcester, MA 01605-1242 | 2019-11-29 |
| 1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
| 1679119853 | Stephanie K Corio | Counselor | 102 Plantation St Apt 3, Worcester, MA 01604-4043 | 2019-11-21 |
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1306480678 | Joy Robinson | Counselor | 44 Byron St Apt 32, Worcester, MA 01606-2837 | 2019-10-30 |
| 1841840063 | Paulina Brunelle | Counselor | 324 Clark St Rear 2, Worcester, MA 01606-1214 | 2019-09-19 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.