Tia Butler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4314 Ironwood LN
Champaign, IL 61822-9336

Phone

(217) 418-7245

NPI assigned

May 21, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Platinum Quest Counseling Services

  • Clinical Social Worker
  • Germantown, MD
  • NPI 1215627716
  NPD Authorized official

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1992443840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 IRONWOOD LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618229336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 IRONWOOD LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618229336",
            "telephone_number": "217-418-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Burris, RBT
• Nicole Marie Busch I
• Caitlin Bush
• Jessica Marie Bushman, L.M.P.
• Jesse Buss, MSW, LSW, QMHP
• Michelle L. Buxton, LCSW
• Kimberly Byckowski
• C U Smile,LLC
• C-U Eyecare LLC
• C.R. Booker Mediation & Counseling Inc.

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.