Whitley Tate, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178019233 Issued in IL

Practice address

2104 Windsor PL Ste a
Champaign, IL 61820-7773

Phone

(217) 552-1058

Fax

(855) 848-7422

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catalyst Counseling Center LLC

  dba C3

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1033770243
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1033993050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 WINDSOR PL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207773",
            "telephone_number": "217-552-1058",
            "fax_number": "855-848-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WINDSOR PL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207773",
            "telephone_number": "217-552-1058",
            "fax_number": "855-848-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "WHITLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178019233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa D Talley, DT
• Tami Knell LTD. (Summit Counseling)
• Shellane Marie Tangen, BSN, MSN, FNP-BC
• Mahtab Tashakori, MD
• Andrew J Tate
• Autumn Tatman
• Tiesha Taylor-Ducker, PMHNP-BC
• Autumn Nicole Taylor
• Chelsea Taylor, RN
• Erica Taylor, LPC

• Mental Health Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.