Individual provider Active NPI

Tiisha Littleton, LCPC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1740923267
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016038 Issued in IL
Practice address
901 N 1St St Ste 225
Springfield, IL 62702-3760
Phone
(217) 788-4065
Fax
(217) 788-4147
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016038 IL Primary

Addresses

Primary practice location

901 N 1St St Ste 225
Springfield, IL 62702-3760

Mailing address

901 N 1St St Ste 225
Springfield, IL 62702-3760
Phone (217) 788-4065

Other names 1

  • Tiisha Dickerson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240523001420 IL Practitioner - Mental Health Counselor 0042652935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Centers of Central IllinoisGroup PAC ID 8325940521, 18 clinicians

Practice addresses (Care Compare)

710 N 8TH St
Springfield, IL 62702-6324
Phone (217) 525-1064

901 N 1St St
Suite 225
Springfield, IL 62702-3760
Phone (217) 788-4065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016038ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic LLP Current Accepting new patients
Mental Health Centers of Central Illinois CurrentSince Apr 26, 2024 Accepting new patients
Mental Health Centers of Central Illinois Professional CurrentSince Apr 26, 2024 Accepting new patients

Locations

3225 Hedley Rd
Springfield, IL 62711
Phone (217) 726-6700

901 N 1st St
Ste 225
Springfield, IL 62702
Phone (217) 523-2217

Interoperability endpoints

  • Direct secure messaging: tiishadickerson@sfc.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1740923267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N 1ST ST STE 225",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023760",
            "telephone_number": "217-788-4065",
            "fax_number": "217-757-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N 1ST ST STE 225",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023760",
            "telephone_number": "217-788-4065",
            "fax_number": "217-788-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLETON",
        "first_name": "TIISHA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIISHA",
            "last_name": "DICKERSON",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.