NATALIE JEAN TABER (MSW) – Mental Health Counselor, NPI 1053947077

NATALIE JEAN TABER (MSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 26318 (MN). The NPI Number for NATALIE JEAN TABER (MSW) is 1053947077

Main info

Female
9 Years Of Experience
Name
NATALIE JEAN TABER (MSW)
NPI
1053947077
Phone
(612) 547-8504
Address
1645 HENNEPIN AVE STE 221
Enumeration Date
21 March 2020
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122685858
Graduation Year
2017 (9 years ago)
PAC ID
3375934011
Group Practice PAC ID
0749528552
Professional Enrollment ID
I20220106001849
Address ID
MN563031924SA3400XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,341 CLINICAL SOCIAL WORKER in MN

Provider Addresses for NATALIE JEAN TABER (MSW)

  • 1645 HENNEPIN AVE STE 221

    MINNEAPOLIS, MN 554031701

    Phone: (612) 547-8504

    Type: Mailing

  • 6636 CEDAR AVE S STE 360

    RICHFIELD, MN 554232712

    Phone: (612) 268-5858

    Type: Location

  • 7401 Metro Blvd Ste 250

    Edina, MN 554393062

    Phone: (612) 268-5858

    Type: Location

  • 7401 METRO BLVD

    STE 250

    EDINA, MN 554393062

    Phone: (612) 268-5858

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220106001849IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749528552View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorWI

Reviews

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Frequently asked questions

What number should I use to identify NATALIE JEAN TABER (MSW) for billing?
Administrative and clinical systems typically use NPI 1053947077 for NATALIE JEAN TABER (MSW).
Quick check: is NATALIE JEAN TABER (MSW) active?
Public NPPES data shows NATALIE JEAN TABER (MSW) with an active NPI status right now.
What does the directory say NATALIE JEAN TABER (MSW) does?
Insurance directories may phrase it differently, but here NATALIE JEAN TABER (MSW) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to NATALIE JEAN TABER (MSW)?
The directory associates NATALIE JEAN TABER (MSW) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains NATALIE JEAN TABER (MSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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