CARMEN TATE NPI 1972111334

NPI Information

  • NPI: 1972111334
  • Provider Name: CARMEN TATE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 2803 LARKSPUR LN
    HAZEL CREST, IL
    ZIP 60429
  • Phone: (708) 608-3241

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NPI Details

Carmen Tate is a professional counselor in Hazel Crest, IL. Carmen Tate NPI is 1972111334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2803 LARKSPUR LN
HAZEL CREST, IL
ZIP 60429-145
Phone: (708) 608-3241

The enumeration date for this NPI number is 7/21/2020 and was last updated on 7/21/2020.

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
1101YP2500XCounselorProfessional180009380Yes
2104100000XSocial Worker150102674No
3171M00000XCase Manager/Care Coordinator42113793No
4225C00000XRehabilitation Counselor110546No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
147-4411020OTHERPRIVATE
247-4411020MEDICAIDILLINOIS

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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