Active NPI
Rebecca Eileen Tatz, LPC
- Mental Health Counselor
- Bloomington, IL
National Provider Identifier
1679421689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.021714
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.021714 | IL | MD | Mental 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.