Individual provider Active NPI

Rebecca Eileen Tatz, LPC

  • Mental Health Counselor
  • Bloomington, IL
National Provider Identifier
1679421689
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.021714 Issued in IL
Practice address
1709 Jumer Dr Ste a
Bloomington, IL 61704-0914
Phone
(312) 553-0403
NPI assigned
Mar 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.021714 IL Primary

Addresses

Primary practice location

1709 Jumer Dr Ste a
Bloomington, IL 61704-0914

Mailing address

1432 W Cortez St Apt 1
Chicago, IL 60642-4594
Phone (740) 358-8082

Other practice location 1

1432 W Cortez St Apt 1
Chicago, IL 60642-4594
Phone (740) 358-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.021714ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1679421689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 W CORTEZ ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424594",
            "telephone_number": "740-358-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 JUMER DR STE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617040914",
            "telephone_number": "312-553-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 W Cortez St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606424594",
            "country_code": "US",
            "telephone_number": "740-358-8082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATZ",
        "first_name": "REBECCA",
        "middle_name": "EILEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.021714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.