Active NPI
Cami Jo Tate
- Mental Health Counselor
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10335133-6009
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10335133-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Treatment & Counseling LLC | Current | 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.
-
- Clinical Social Worker
- St George, UT
- NPI 1881353290
-
dba LDS Family Services wA Seattle Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.