BENJAMIN ANTONIO TATE LPC CAADC-DP NPI 1194281337

NPI Information

  • NPI: 1194281337
  • Provider Name: BENJAMIN ANTONIO TATE, LPC, CAADC-DP
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9315 TELEGRAPH RD
    REDFORD, MI
    ZIP 48239
  • Phone: (313) 450-4500

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NPI Details

Benjamin Antonio Tate, LPC, CAADC-DP is a counselor in Redford, MI with 7 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Benjamin Antonio Tate, LPC, CAADC-DP NPI is 1194281337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9315 TELEGRAPH RD
REDFORD, MI
ZIP 48239-260
Phone: (313) 450-4500

The NPI 1194281337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor6401020205MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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