Tiller Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007130 Issued in IL

Legal business name

TILLER COUNSELING LLC

Practice address

303 N 2ND St
St 21
Saint Charles, IL 60174-1804

Phone

(630) 618-8887

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Matthew McDonald, LCPC

Title

President

Phone

(630) 618-8887

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Blandford, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1013455385
  NPD (past)

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1861930281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5N187 ELM RD",
            "city": "WAYNE",
            "state": "IL",
            "postal_code": "601842316",
            "telephone_number": "630-618-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 2ND ST",
            "address_2": "ST 21",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741804",
            "telephone_number": "630-618-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-618-8887",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Thorne
• Eileen Marie Thorp, OTR/L
• Thrive Family Counseling, LLC
• Lesley Throneburg, LCSW
• Rebecca Thulson, MSN, FNP-BC
• Holly Lynne Timmreck, PT, DPT
• Timothy W. Sheehan,LTD.
• Logan Tinsley
• Steven Tirabasso, D.C.
• Sheila M Tito

• Professional Counselor in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.