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Active NPI 1508225459 Individual Practitioner Female Practitioner

Audrey Jean Tate , LPC, AT, CDCA

Counselor • Elyria, OH

Professional Overview & Biography Verified Profile Summary

Audrey Tate, LPC, AT, CDCA is a registered healthcare professional specializing in Counselor in Elyria, OH. Practice services are available at 347 MIDWAY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

347 Midway Blvd
Suite 200

Elyria, OH 440359006

Telephone 4403245701
Fax 4403249978
Associated Practice Facility / Clinic
🏢 Applewood Centers, Inc. Facility NPI 1780652966

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Elyria, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Elyria, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C 1300788

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH 151783

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003042524

LPCCS

Brian Tann

Case Manager/Care Coordinator

NPI 1013888684
David Klein

Case Manager/Care Coordinator

NPI 1023506383
Jaimie Mcgovern

Case Manager/Care Coordinator

NPI 1023977535
Jazzmine Williams

Case Manager/Care Coordinator

NPI 1043152051
Mariah Casper , LSW

Social Worker

NPI 1063169746

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2016

Registered at 347 MIDWAY BLVD, SUITE 200, ELYRIA, OH 440359006 (Tel: 4403245701)

📍
Updated Business Mailing Address February 21, 2016

Registered at 17852 CANNON AVE # UP, LAKEWOOD, OH 441072206 (Tel: 2165010799)

👤
Provider Name / Credentials Updated February 21, 2016

Recorded as AUDREY TATE, LPC, AT, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2016

Counselor (License #C 1300788 in OH)

🟢
Initial NPI Registration & Enumeration February 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508225459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2016
Last Update: February 21, 2016
Sole Proprietor: Yes

Mailing Address

17852 Cannon Ave # Up

Lakewood, OH 441072206

Phone: 2165010799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.