MRS. ANTOINETTE TATE LPC
NPI 1952120750
Counselor - Professional in Fresno, TX
About Mrs. Antoinette Tate Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANTOINETTE TATE LPC (NPI 1952120750) is an individual professional provider in Fresno, Texas, licensed in Texas (91017) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Antoinette Tate Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Antoinette Tate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Missouri City, TX 77459
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Antoinette Tate's NPI number?
The NPI number for Antoinette Tate is 1952120750. It was assigned to this individual provider in the NPPES registry on October 8, 2024.
Where is Antoinette Tate located?
Antoinette Tate practices at 2606 Modano Ct, Fresno, TX 77545. The listed phone number is (936) 676-5116.
What is Antoinette Tate's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Antoinette Tate enrolled in Medicare?
Yes. Antoinette Tate is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Antoinette Tate's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antoinette Tate reassigns Medicare benefits to Thrivelight Wellness Corp. (Missouri City, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antoinette Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Antoinette Tate accept?
Health plans from Blue Cross and Blue Shield of Texas list Antoinette Tate as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Antoinette Tate was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Antoinette Tate, LPC · NPI 1952120750
Professional provider in Fresno, Texas. Individual provider, active in the CMS NPPES registry since October 8, 2024.
## Identity
- **NPI:** 1952120750 (Entity type: Individual)
- **Enumerated:** October 8, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 91017 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2606 MODANO CT, Fresno, TX 77545-1435
- **Phone:** (936) 676-5116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrivelight Wellness Corp. (NPI 1538048301, Missouri City, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952120750) · Data from the CMS NPPES public registry.