Tara Valentine

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.016423 Issued in IL

Practice address

2206 Eastland Dr Ste 101
Bloomington, IL 61704-7742

Phone

(217) 714-7042

NPI assigned

Aug 20, 2020

Last updated

Mar 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1972115988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 EASTLAND DR STE 101",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047742",
            "telephone_number": "217-714-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 EASTLAND DR STE 101",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047742",
            "telephone_number": "217-714-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Martin Luther King Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617011429",
            "country_code": "US",
            "telephone_number": "888-924-3786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 W Ottawa Rd",
            "address_purpose": "LOCATION",
            "city": "Paxton",
            "state": "IL",
            "postal_code": "609574090",
            "country_code": "US",
            "telephone_number": "217-379-4302",
            "fax_number": "217-817-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.016423",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.