Frederick Cline III, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180012227 Issued in IL

Practice address

1402 N King Edward CT Apt 106
Palatine, IL 60067-2665

Phone

(309) 235-9699

NPI assigned

Apr 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eric Cline Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Tree of Life Counseling LLC

  • Mental Health Counselor
  • Lake Zurich, IL
  • NPI 1447021860
  NPD Authorized official

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1629423850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N KING EDWARD CT APT 106",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672665",
            "telephone_number": "309-235-9699",
            "fax_number": "309-829-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N KING EDWARD CT APT 106",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672665",
            "telephone_number": "309-235-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "FREDERICK",
        "name_suffix": "III",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "CLINE",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Malgorzata Anna Ciomek
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• Erin Clements, DPT
• Orla Coffey, P.T.
• Cole Vision Corporation
• Rachel E Colvin, ATC
• Comm Cons School District No 15
• Connections Counseling, Inc.

• Mental Health Counselor in Palatine, IL
• Providers in Palatine, 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 Dec 28, 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.