Individual provider Active NPI

Tanya Eulanda White, ED.S., LCPC

  • Professional Counselor
  • Matteson, IL
National Provider Identifier
1730682535
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180018540 Issued in IL
Practice address
21150 Dettmering St
Matteson, IL 60443-2517
Phone
(708) 752-6855
NPI assigned
Mar 18, 2018
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180018540 IL Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X IL
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 2483985 IL
Nurse's Aide 376K00000X

Addresses

Primary practice location

21150 Dettmering St
Matteson, IL 60443-2517

Mailing address

14915 Main St
Harvey, IL 60426-2235
Phone (708) 596-4510

Other practice location 1

211 N Hammes Ave
Joliet, IL 60435-8113
Phone (815) 290-0902

Other practice location 2

14915 Main St
Harvey, IL 60426-2235
Phone (708) 752-6855

Other names 1

  • Tanya E Riley Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2483985ILMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1730682535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14915 MAIN ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604262235",
            "telephone_number": "708-596-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 DETTMERING ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432517",
            "telephone_number": "708-752-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Hammes Ave",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358113",
            "country_code": "US",
            "telephone_number": "815-290-0902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14915 Main St",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604262235",
            "country_code": "US",
            "telephone_number": "708-752-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TANYA",
        "middle_name": "EULANDA",
        "credential": "ED.S., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180018540",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2483985",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "RILEY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.