T'Mia Patrick, Ma, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

T'MIA PATRICK, MA, LLC

Practice address

2041 175TH St
Homewood, IL 60430-1001

Phone

(802) 662-3838

Fax

(802) 662-3839

NPI assigned

Oct 17, 2025

Organization subpart

No

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

Authorized official

Name

Ms. T'Mia Patrick, MANPI 1851268635

Title

Rostered Psychotherapist

Phone

(802) 662-3838

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• T'Mia Patrick, MA

  • Student in an Organized Health Care Education/Training Program
  • Homewood, IL
  • NPI 1851268635

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1073480893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301001",
            "telephone_number": "802-662-3838",
            "fax_number": "802-662-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301001",
            "telephone_number": "802-662-3838",
            "fax_number": "802-662-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T'MIA PATRICK, MA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "T'MIA",
        "authorized_official_title_or_position": "ROSTERED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "802-662-3838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Homewood, IL
• Providers in Homewood, 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 Oct 17, 2025; 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.