Nathan W Gates, MA
Individual provider Active NPI Professional Counselor · Canton, IL
NPI 1275655698 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1275655698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.008351 (IL)
- Practice address
- 8 S Main St
Suite 203
Canton, IL 61520-2606 - Phone
- (309) 740-2171
- Fax
- (309) 740-2171
- NPI assigned
- Apr 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008351 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.008351 | IL | Yes |
Addresses
Primary practice location
8 S Main St
Suite 203
Canton, IL 61520-2606
Mailing address
8 S Main St
Suite 203
Canton, IL 61520-2606
Phone (309) 740-2171
Other providers in Canton, IL
- Justin Freeman
- Fulton County Emergency Medical Association, Inc.
- Fulton County Health Department
- Fulton County Rehabilitation Center Inc.
- Kacy Garrard
- Gayon High Performance Chiropractic & Rehab, Inc
- Ruben Gayon
- Generations at Canton LLC
- Laticia M Georgie
- Cody J. Gibbs
All providers in Canton, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.