Individual provider Active NPI

Cami Jo Tate

  • Mental Health Counselor
  • St George, UT
National Provider Identifier
1699128694
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10335133-6009 Issued in UT
Practice address
249 E Tabernacle St Ste 100
St George, UT 84770-2951
Phone
(435) 227-5506
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 10335133-6009 UT Primary

Addresses

Primary practice location

249 E Tabernacle St Ste 100
St George, UT 84770-2951

Mailing address

94 E Pages LN
Suite a
Centerville, UT 84014-2216
Phone (801) 294-0578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220001477 UT Practitioner - Mental Health Counselor 2668953357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma Treatment and Counseling LLCGroup PAC ID 3476900796, 8 clinicians

Practice addresses (Care Compare)

249 E Tabernacle St
Suite 100
St George, UT 84770-2951
Phone (801) 995-1788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10335133-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Treatment & Counseling LLC CurrentSince Feb 1, 2026 Accepting new patients
LDS Family Services Past Accepting new patients

Locations

1579 N Main St
Ste 106
Cedar City, UT 84721
Phone (435) 227-5506

249 E Tabernacle St
Ste 100
St George, UT 84770
Phone (435) 227-5506

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1699128694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 E PAGES LN",
            "address_2": "SUITE A",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142216",
            "telephone_number": "801-294-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702951",
            "telephone_number": "435-227-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "CAMI",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10335133-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.