Individual provider Active NPI

Tara Marie Winkler, LCPC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1265954267
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010943 Issued in IL
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
180.010943ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tara Winkler LCPC LLC Current Accepting new patients
Killian and Associates SC PastSince Nov 1, 1995 Accepting new patients
Rebound Healthcare Systems LLC PastSince Feb 18, 2018 Accepting new patients

Locations

2151 W White Oaks Dr
Ste D
Springfield, IL 62704
Phone (217) 319-9451

Interoperability endpoints

  • Direct secure messaging: tara.winkler.1@25965.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.