Catherine Josephine Tillman, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21492. Issued in FL

Practice address

9200 NW 36TH PL Ste a-4
Gainesville, FL 32606-3530

Phone

(352) 474-8882

NPI assigned

Nov 21, 2020

Last updated

Nov 10, 2022By 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 1

Addresses

Other names 1

• Mrs. Cathy Josephine Tillman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1407459316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 NW 36TH PL STE A-4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063530",
            "telephone_number": "352-200-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 NW 36TH PL STE A-4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063530",
            "telephone_number": "352-474-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "CATHERINE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21492.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "TILLMAN",
            "middle_name": "JOSEPHINE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen Tiefenbach, R.PH.
• John Walter Tierney Jr., O.D.
• Albert Tieu, PHARMD
• Tiffany Monahan, O.D. LLC
• Patrick James Tighe, MD
• Keith David Tillman, ACUPUNCTURIST
• Mindy Tillman, BCLDO, NCLEC, ABOC
• Stuart Flanders Tillman, M.D.
• Jacob J Tillmann, PHARMD
• Sophie Georgia Tillotson, MD

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.

Verify at the official NPI Registry.