Active NPI
Tina Swain, MA, LPC
- Professional Counselor
- Dolton, IL
National Provider Identifier
1972844934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178006719
- Practice address
- 15211 Woodlawn Ave
Dolton, IL 60419-2818 - Phone
- (708) 790-1457
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178006719 | IL | Primary |
Addresses
Primary practice location
15211 Woodlawn Ave
Dolton, IL 60419-2818
Mailing address
15211 Woodlawn Ave
Dolton, IL 60419-2818
Phone (708) 790-1457
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178006719 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1972844934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15211 WOODLAWN AVE",
"city": "DOLTON",
"state": "IL",
"postal_code": "604192818",
"telephone_number": "708-790-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15211 WOODLAWN AVE",
"city": "DOLTON",
"state": "IL",
"postal_code": "604192818",
"telephone_number": "708-790-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAIN",
"first_name": "TINA",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178006719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dolton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.