Jeremy Tacbas, LMFT, BCBA is a
Counselor - Mental Health based in Dunsmuir, California. Jeremy Tacbas is licensed to practice in California (license number 105850) and his current practice location is
5727 Dunsmuir Ave, Dunsmuir, California. He can be reached at his office (for appointments etc.) via phone at
(530) 408-8794.
NPI number for Jeremy Tacbas is 1063537512 and his current mailing address is 111 N A St, Mount Shasta, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063537512.
Healthcare Provider's Profile
| Full Name | Jeremy Tacbas |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 5727 Dunsmuir Ave, Dunsmuir, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063537512
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 06/08/2018
Medical Identifiers
Medical identifiers for Jeremy Tacbas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063537512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 105850 (California) | Primary |
| 103K00000X | Behavior Analyst | 1-17-26591 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Tacbas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jeremy Tacbas, LMFT, BCBA 111 N A St, Mount Shasta, CA 96067-2402 Ph: (530) 408-8794 | Jeremy Tacbas, LMFT, BCBA 5727 Dunsmuir Ave, Dunsmuir, CA 96025 Ph: (530) 408-8794 |
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