NATHAN PATRICK TILLER (NPI# 1417109679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417109679 |
| Entity Type | Individual |
| Full Name | NATHAN PATRICK TILLER |
| Credential | BSW |
| Practice Address |
7 Rantoul St Suite 200 Beverly MA 01915-4885 |
| Mailing Address |
118 Long Pond Rd Suite 104 Plymouth MA 02360-2662 |
| Practice Telephone | 9789279410 |
| Practice Fax Number | 9789226141 |
| Mailing Telephone | 5087465632 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
7 RANTOUL ST SUITE 200 |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346375649 | Rebecca Tull | Counselor | 7 Rantoul St, Suite 200, Beverly, MA 01915-4885 | 2007-02-23 |
| 1427294735 | Shanna L Blaney | Counselor | 7 Rantoul St, Beverly, MA 01915-4885 | 2008-12-17 |
| 1467606806 | Lauren Michele Bosse | Counselor | 7 Rantoul St, 200, Beverly, MA 01915 | 2008-11-12 |
| 1366696932 | Andre Everette | Counselor | 7 Rantoul St, Suite 200, Beverly, MA 01915-4885 | 2008-11-10 |
| 1568616316 | Steve Cellini | Counselor | 7 Rantoul St, Beverly, MA 01915-4885 | 2008-11-06 |
| 1245482488 | Alycia Merritt | Counselor | 7 Rantoul St, Suite 200, Beverly, MA 01915-4885 | 2008-10-21 |
| 1417109653 | Sara Calhoun | Marriage & Family Therapist | 7 Rantoul St, Suite 200, Beverly, MA 01915-4885 | 2008-10-21 |
| 1396997052 | Sarah Libby | Counselor | 7 Rantoul St, Beverly, MA 01915-4885 | 2008-10-14 |
| 1801047584 | Heather Trubiano | Social Worker | 7 Rantoul St, Suite 200, Beverly, MA 01915-4885 | 2008-10-01 |
| 1225288087 | Danielle Nicole Wegrzyn | Social Worker | 7 Rantoul St, Beverly, MA 01915-4885 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1740745066 | Jonna L Clark | Counselor | 19 Beckford St Apt 1, Beverly, MA 01915-3136 | 2019-01-31 |
| 1083130157 | Sean David Carmichael | Counselor | 900 Cummings Ctr # 324-s, Beverly, MA 01915-6198 | 2017-08-20 |
| 1679927115 | Julie St Peter | Counselor | 50 Folly Pond Rd, 32, Beverly, MA 01915-5344 | 2016-04-21 |
| 1750764676 | Mason Devlin Billings | Counselor | 23 Thorndike St, Beverly, MA 01915-5835 | 2015-07-09 |
| 1588078422 | Karlos Elioref Sotelo-leal | Counselor | 49 Essex St, Apt 1, Beverly, MA 01915-4642 | 2014-06-18 |
| 1821426271 | Kelli Rose Marshall | Counselor | 800 Cummings Ctr Ste 360u, Beverly, MA 01915-6174 | 2013-10-23 |
| 1205263274 | Daniel Gerard Fortunato | Counselor | 28 Williams St, Beverly, MA 01915-2324 | 2013-10-04 |
| 1295169878 | Meaghan Lyons Bonner | Counselor | 100 Cummings Ctr Ste 451c, Beverly, MA 01915-6132 | 2013-08-30 |
| 1659611085 | Garth Raymond Retallack | Counselor | 346 Elliott St, Beverly, MA 01915-2347 | 2013-02-21 |
| Find all providers in BEVERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.