Individual provider Active NPI

Tillie McGuire

  • Professional Counselor
  • Abilene, TX
National Provider Identifier
1952004913
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83938 Issued in TX
Practice address
1749 Pine St
Abilene, TX 79601-3043
Phone
(325) 696-0600
Fax
(325) 676-3873
NPI assigned
Mar 27, 2023
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 83938 TX
Mental Health Counselor 101YM0800X 83938 TX
Professional Counselor 101YP2500X 83938 TX Primary

Addresses

Primary practice location

1749 Pine St
Abilene, TX 79601-3043

Mailing address

301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SONAbilene@direct.myteamcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231215000967 TX Practitioner - Mental Health Counselor 5395193312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1749 Pine St
Abilene, TX 79601-3043
Phone (325) 696-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center - Son - Lubbock CurrentSince Jan 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1749 Pine St
Abilene, TX 79601
Phone (325) 672-4372

301 40th St
Lubbock, TX 79404
Phone (806) 743-9355

Interoperability endpoints

  • Direct secure messaging: sonabilene@direct.myteamcare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1952004913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042746",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013043",
            "telephone_number": "325-696-0600",
            "fax_number": "325-676-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "TILLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "83938",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83938",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SONAbilene@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "SON Abilene Non-Clinical",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1749 Pine St",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796013043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.