Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Thor

Individual provider Mental Health Counselor · NPI 1447866447

Tara Thor is a Mental Health Counselor in Moline, Illinois. Qualified in 2020, 6 years ago. Practices as a sole proprietor.

Years since qualifying
6
In the registry since
2020

Practice location Address checks out

2200 52nd Ave
Moline, IL 61265-6308
Phone: (309) 797-2900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1447866447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2020
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address2200 52nd Ave, Moline, IL 61265-6308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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