Active NPI
Timothy M Harte
- Mental Health Counselor
- Springfield, IL
National Provider Identifier
1962678656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180005766
- Practice address
- 901 N 1St St
Suite 101
Springfield, IL 62702-3748 - Phone
- (217) 757-7700
- Fax
- (217) 757-7799
- NPI assigned
- May 2, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180005766 | IL | Primary |
Addresses
Primary practice location
901 N 1St St
Suite 101
Springfield, IL 62702-3748
Mailing address
710 N 8TH St
Springfield, IL 62702-6324
Phone (217) 525-1064
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 |
|---|---|---|---|
| 180005766 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1962678656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N 8TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026324",
"telephone_number": "217-525-1064",
"fax_number": "217-525-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N 1ST ST",
"address_2": "SUITE 101",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023748",
"telephone_number": "217-757-7700",
"fax_number": "217-757-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTE",
"first_name": "TIMOTHY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180005766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.