Casey Walton Tanner, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180012644 Issued in IL

Practice address

3046 W Armitage Ave Apt 1
Chicago, IL 60647-5935

Phone

(847) 849-9237

NPI assigned

Jun 14, 2018

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casey Tanner LLC

  dba The Expansive Group

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1093480592
  NPD (past) Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1396238242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 N OAKLEY AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181619",
            "telephone_number": "847-849-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 W ARMITAGE AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475935",
            "telephone_number": "847-849-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CASEY",
        "middle_name": "WALTON",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013798",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Tannan, M.D.
• Deirdre L. Tannen, PSY.D.
• Ellen Tannenbaum, LCSW
• Beth Anne Tanner, AU.D.
• Camisha Tanner, PHARMD
• Christina Tanner, C.N.M.
• Kyle Tanner, LCPC
• Latoya D. Tanniehill, LCSW
• Alexa Harris Tannous, PA-C
• Paul Tannous, M.D., PH.D.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.