Carmen Lynn Tillman, MA, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

087407 Issued in IA

Practice address

2570 106TH St Ste E
Urbandale, IA 50322-3742

Phone

(319) 512-7250

Fax

(319) 204-3285

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Rooted Insights, PLC

  • Mental Health Counselor
  • Urbandale, IA
  • NPI 1073265633
  NPD Authorized official
• Carmen Tillman, PLC

  • Mental Health Counselor
  • Iowa City, IA
  • NPI 1265045181
  NPD (past) Authorized official
• Psychiatric Associates of Iowa, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Liberty, IA
  • NPI 1568121457
  NPD (past)
• Psychiatric Associates of Iowa, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Liberty, IA
  • NPI 1720709074
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1265094577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 106TH ST STE E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223742",
            "telephone_number": "515-446-7284",
            "fax_number": "515-349-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 106TH ST STE E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223742",
            "telephone_number": "319-512-7250",
            "fax_number": "319-204-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "CARMEN",
        "middle_name": "LYNN",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "087407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Nicole Thorenhill, BCBA
• Thrive Chiropractic Center, LLC
• Thrive Family Chiropractic PLLC
• Jonathon Tichy
• Julia Tiedeman, LMSW
• Timberline Vision
• Thomas R Tippins, DDS
• TMS of Iowa, LLC
• Rebecca L Tomlinson
• Dallas Ryan Topping-Koppes, DC

• Mental Health Counselor in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.