Individual provider Active NPI

Tania Marie Garcia, LSW

  • Counselor
  • Channahon, IL
National Provider Identifier
1184320178
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
150110106 Issued in IL
Practice address
25224 W Eames St
Channahon, IL 60410-5215
Phone
(815) 791-1360
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 150110106 IL Primary

Addresses

Primary practice location

25224 W Eames St
Channahon, IL 60410-5215

Mailing address

25224 W Eames St
Channahon, IL 60410-5215
Phone (815) 467-8181

Other names 1

  • Tania Marie Dickey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112002682 IL Practitioner - Clinical Social Worker 8325572407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University Alabama Birmingham - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Counseling and Coaching of Illinois LLCGroup PAC ID 5496093213, 19 clinicians

Practice addresses (Care Compare)

5700 Caton Farm Rd
Plainfield, IL 60586-9905
Phone (815) 467-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150110106ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling & Coaching of Illinois, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

25224 W Eames St
Channahon, IL 60410
Phone (815) 467-8181

25224 W Eames St
Ste D
Channahon, IL 60410
Phone (815) 467-8181

5700 Caton Farm Rd
Plainfield, IL 60586
Phone (630) 945-6724

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1184320178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25224 W EAMES ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105215",
            "telephone_number": "815-467-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25224 W EAMES ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105215",
            "telephone_number": "815-791-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TANIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "150110106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "DICKEY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Channahon, IL

Sources for this page

Verify at the official NPI Registry.