Colleen Tate, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009699 Issued in PA

Practice address

201 S 18TH St Apt 204
Philadelphia, PA 19103-5919

Phone

(267) 520-0280

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1376062166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 MANTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 18TH ST APT 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035919",
            "telephone_number": "267-520-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yekaterina L Tatarchuk, MD
• Alexandra Hope Tatarian
• Gabriel Theodore Tatarian, D.O.
• Talar Tatarian, M.D.
• Charlene Caprice Tate
• Daina Marlene Tate
• M Quinn Tate, M.D.
• Nakia Tate, LCSW
• Shanerha Tate, CRNP, WHNP-BC
• Taisha Tate

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.