Antoinette Tate, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

91017 Issued in TX

Practice address

2606 Modano CT
Fresno, TX 77545-1435

Phone

(936) 676-5116

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

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

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Thrivelight Wellness Corp.

  dba Zion Healing Center of Sugar Land

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missouri City, TX
  • NPI 1538048301
  Medicare reassignment

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1952120750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 MODANO CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775451435",
            "telephone_number": "936-676-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 MODANO CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775451435",
            "telephone_number": "936-676-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supervizon (Crossing Horizons Counseling)
• Supportive Hands Personal Care Services, LLC
• Sure Hands Surgical Assisting LLC
• Suntara Swift
• Tailored Group LLC (Tailored Home Health Care)
• TD Reliable Transport LLC
• Texan Chiropractic Center, PLLC
• Ann Clare Thachil
• The Change LLC
• Therapeutic Solutions 101

• Professional Counselor in Fresno, TX
• Providers in Fresno, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.