Active NPI
Courtney Tate, LPC
- Professional Counselor
- Temple, TX
National Provider Identifier
1770643306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18725
- Practice address
- 3010 Scott Blvd Ste 103
Temple, TX 76504-6803 - Phone
- (254) 773-4022
- Fax
- (254) 773-0919
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18725 | TX | |
| Professional Counselor | 101YP2500X | 18725 | TX | Primary |
Addresses
Primary practice location
3010 Scott Blvd Ste 103
Temple, TX 76504-6803
Mailing address
PO Box 1108
Temple, TX 76503-1108
Phone (254) 773-4022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163021202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18725 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chupik Counseling & Consulting PA | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1770643306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765031108",
"telephone_number": "254-773-4022",
"fax_number": "254-773-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 SCOTT BLVD STE 103",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046803",
"telephone_number": "254-773-4022",
"fax_number": "254-773-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "COURTNEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18725",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163021202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.