Active NPI
Elizabeth Kathleen Tate, LCMHCA, NCC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1831865476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A15226
- Practice address
- 1507 Tessava CT
Charlotte, NC 28210-6052 - Phone
- (704) 705-0843
- NPI assigned
- Aug 23, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A15226 | NC | Primary |
Addresses
Primary practice location
1507 Tessava CT
Charlotte, NC 28210-6052
Mailing address
1507 Tessava CT
Charlotte, NC 28210-6052
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15226 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avance Care, PA | 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.
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1831865476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 TESSAVA CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282106052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 TESSAVA CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282106052",
"telephone_number": "704-705-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "ELIZABETH",
"middle_name": "KATHLEEN",
"credential": "LCMHCA, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A15226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.