Audrey Jean Tate, LPC, AT, CDCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C 1300788 Issued in OH

Practice address

347 Midway Blvd
Suite 200
Elyria, OH 44035-9006

Phone

(440) 324-5701

Fax

(440) 324-9978

NPI assigned

Feb 21, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1508225459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17852 CANNON AVE # UP",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072206",
            "telephone_number": "216-501-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD",
            "address_2": "SUITE 200",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359006",
            "telephone_number": "440-324-5701",
            "fax_number": "440-324-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "AUDREY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPC, AT, CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C 1300788",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Jean Sweeney, RN
• Brianna Louise Szabo, CT
• Susan Lynn Szydlowski, PA-C
• Noa Renee Szylakowski
• George Tackett, RPH
• Harold D Tawney
• Dallas Marie Taylor, R.N.
• Holly L Taylor, SLP
• Jasmine R Taylor
• Patricia Taylor, CNP

• Counselor in Elyria, OH
• Providers in Elyria, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; 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.