Keli Erin Tate, MS LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

#1 Doctor Park Road
Suite H
Mt Vernon, IL 62864

Phone

(618) 244-0344

Fax

(618) 244-1455

NPI assigned

Dec 6, 2006

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

• Miss Keli Erin Seloven Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669531653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BENTON ROAD",
            "city": "MT VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-315-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 DOCTOR PARK ROAD",
            "address_2": "SUITE H",
            "city": "MT VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-244-0344",
            "fax_number": "618-244-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KELI",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELI",
            "last_name": "SELOVEN",
            "middle_name": "ERIN",
            "prefix": "MISS",
            "credential": "MS LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tammy Sweet
• Alexandrea Bree an Swinnen, PHARMD
• Madona Syxiengmay, P.T.
• T Clinic LLC
• Brooke Elizabeth Tate
• Kimberly Tate, QMHP
• Gina M Taylor, MHP
• Kelley Dawn Taylor, MHP
• TDL Group, Inc.
• TDL Group, Inc.

• Counselor in Mt Vernon, IL
• Providers in Mt Vernon, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.