Temika Walton-Clemons, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178014090 Issued in IL

Practice address

534 1St St Ste a
Crete, IL 60417-2153

Phone

(708) 880-7747

Fax

(708) 880-7787

NPI assigned

Sep 16, 2021

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

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.

• Milestones Counseling Center, LLC

  • Adult Mental Health Clinic/Center
  • Crete, IL
  • NPI 1548862196
  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1629748041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 1ST ST STE A",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172153",
            "telephone_number": "708-880-7747",
            "fax_number": "708-880-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 1ST ST STE A",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172153",
            "telephone_number": "708-880-7747",
            "fax_number": "708-880-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON-CLEMONS",
        "first_name": "TEMIKA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Crete, IL
• Providers in Crete, IL by specialty
• Professional Counselor in Illinois

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