Angela Tate, MED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009035069 Issued in MO

Practice address

201 S Skinker Blvd
Saint Louis, MO 63105-2317

Phone

(314) 485-9330

NPI assigned

Mar 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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

• Legacy Counseling and Consulting Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
  • NPI 1235772617
  NPD

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1730649906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CHRISTY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333205",
            "telephone_number": "314-518-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S SKINKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052317",
            "telephone_number": "314-485-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Christy Dr",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630333205",
            "country_code": "US",
            "telephone_number": "314-266-9282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "ANGELA",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009035069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Tary, O.D.
• Theodore A Tash, DPT
• Taste of Success Coaching
• Heidi Hope Tastet, MD
• Elvira Tatar, RPH
• Justin Tate, RRT
• Pearl Tate, LMSW
• Sandra L Tate, MD
• Sharon Ann Tate, LPN
• Kanayo Tatsumi, M.D

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.