Jesse James Tate

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

610 Varsity Dr
Wilmington, NC 28403-8444

Phone

(910) 520-2921

NPI assigned

Sep 10, 2009

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1770816571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 VARSITY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038444",
            "telephone_number": "910-520-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 VARSITY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038444",
            "telephone_number": "910-520-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JESSE",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melany Tarr, LCSW
• Lindsey Bright Tarrant, MS-CCC/SLP
• Brantley Austin Tart, PNP-PC
• Hayden Chris Tarver, PHARMD
• Frederick Bryan Tate, DDS
• Josie R Tate
• Thomas Dale Tate, MD
• Cassandra Joan Taverna, LCSW-A
• Taxi USA of Wilmington LLC
• Jeff Tayloe, LPC

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.