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MRS. CATHERINE JOSEPHINE TILLMAN LMHC
NPI 1407459316
Counselor - Mental Health in Gainesville, FL

Active since November 21, 2020Opted out of Medicare · through Apr 1, 2028
9200 NW 36TH PL STE A-4, GAINESVILLE, FL 32606(352) 474-8882 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 10, 2022, Nov 21, 2020 (2 updates tracked since 2020).

About Mrs. Catherine Josephine Tillman Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CATHERINE JOSEPHINE TILLMAN LMHC (NPI 1407459316) is an individual mental health provider in Gainesville, Florida, licensed in Florida (MH21492.) and active in the NPI registry since November 2020. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1407459316
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CATHERINE JOSEPHINE TILLMANCredential: LMHC
Location Address9200 NW 36TH PL STE A-4Gainesville, FL 32606-3530
Mailing Address9200 Nw 36th Pl Ste A-4Gainesville, FL 32606-3530 · (352) 200-2856
Phone(352) 474-8882
Sole ProprietorNo
Enumeration DateNovember 21, 2020
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 9, 2022
✔ NPI 1407459316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH21492.
9200 NW 36TH PL STE A-4, Gainesville, FL 32606
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Other Names 1

Other Name (5)Mrs. Cathy Josephine Tillman

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Catherine Josephine Tillman Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catherine Tillman's NPI number?

The NPI number for Catherine Tillman is 1407459316. It was assigned to this individual provider in the NPPES registry on November 21, 2020. The provider is also known as Mrs. Cathy Josephine Tillman.

Where is Catherine Tillman located?

Catherine Tillman practices at 9200 NW 36th Pl Ste A-4, Gainesville, FL 32606. The listed phone number is (352) 474-8882.

What is Catherine Tillman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Catherine Tillman enrolled in Medicare?

No. Catherine Tillman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Catherine Tillman was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.