Individual provider · Type 1 NPI

Chad Tippit

Counselor · Centralia, IL

NPI number 1134051519 Active

Practice location

904 E Martin Luther King Dr
Centralia, IL 62801

Call (618) 533-1391 Map

Fax (618) 533-0012

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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.

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About NPI 1134051519

Chad Tippit's National Provider Identifier is 1134051519, issued on Jun 1, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Centralia, IL. The record was last updated on Jun 1, 2026.