Brenda E Tejada Nunez, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

23503 Issued in FL

Practice address

745 W Lansdowne Ave
Orange City, FL 32763-4713

Phone

(787) 340-9022

NPI assigned

Oct 19, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Networks

• FL PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Psychiatric Services, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1679562797
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1023529856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W LANSDOWNE AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327634713",
            "telephone_number": "787-340-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W LANSDOWNE AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327634713",
            "telephone_number": "787-340-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA NUNEZ",
        "first_name": "BRENDA",
        "middle_name": "E",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "23503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Orthopedic Clinic III, P.L.
• Natasha L Taylor, PA - C
• Shelby Taylor
• Sierra Taylor
• Nicole Marie Teater, COTA
• Rodolfo Tejada, DDS
• Aura Isabel Tello
• Terrence Soule, DDS, PA
• Lorreine Texidor Feliciano, DC
• The Healthcaring Clinic of Florida, LLC

• Mental Health Counselor in Orange City, FL
• Providers in Orange City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.