Active NPI
Tara Marie Winkler, LCPC
- Professional Counselor
- Springfield, IL
National Provider Identifier
1265954267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.010943
- Practice address
- 435 W Washington St
Springfield, IL 62702-5006 - Phone
- (217) 210-2476
- Fax
- (217) 210-2549
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.010943 | IL | Primary |
Addresses
Primary practice location
435 W Washington St
Springfield, IL 62702-5006
Mailing address
435 W Washington St
Springfield, IL 62702-5006
Phone (217) 210-2476
Other practice location 1
1020 S 5th St
Springfield, IL 62703-2312
Phone (217) 544-3143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 5, 2026 through Jun 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010943 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tara Winkler LCPC LLC | Current | Accepting new patients | |
| Killian and Associates SC | Past | Accepting new patients | |
| Rebound Healthcare Systems LLC | Past | Accepting new patients |
Locations
2151 W White Oaks Dr
Ste D
Springfield, IL 62704
Phone (217) 319-9451
Interoperability endpoints
- tara.winkler.1@25965.direct.athenahealth.com
- https://api.platform.athenahealth.com/25965/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, IL
- NPI 1154099018
-
- Psychiatry Physician
- Springfield, IL
- NPI 1487642708
-
- Community/Behavioral Health Agency
- Springfield, IL
- NPI 1215473673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265954267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 W WASHINGTON ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025006",
"telephone_number": "217-210-2476",
"fax_number": "217-210-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 W WASHINGTON ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025006",
"telephone_number": "217-210-2476",
"fax_number": "217-210-2549"
}
],
"practiceLocations": [
{
"address_1": "1020 S 5th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627032312",
"country_code": "US",
"telephone_number": "217-544-3143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINKLER",
"first_name": "TARA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.