Individual provider Active NPI

Tyne Hurtado, LMHC, NCC, Q.S.

  • Mental Health Counselor
  • Trinity, FL
National Provider Identifier
1033412812
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4109 Little Rd Ste 102
Trinity, FL 34655-1715
Phone
(727) 487-1185
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4109 Little Rd Ste 102
Trinity, FL 34655-1715

Mailing address

4109 Little Rd Ste 102
Trinity, FL 34655-1715
Phone (727) 487-1185

Other identifiers 1

IdentifierTypeStateIssuer
009918500MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231120000307 FL Practitioner - Mental Health Counselor 4688022320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34125 US Hwy 19 N
Suite 200
Palm Harbor, FL 34684-2115
Phone (727) 487-1185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tyne Hurtado LMHC NCC LLC Mental Health CurrentSince May 12, 2024 Accepting new patients

Locations

34125 US Highway 19 N
Ste 200
Palm Harbor, FL 34684
Phone (727) 487-1185

4109 Little Rd
Ste 102
Trinity, FL 34655
Phone (727) 487-1185

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1033412812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 LITTLE RD STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551715",
            "telephone_number": "727-487-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 LITTLE RD STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551715",
            "telephone_number": "727-487-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "TYNE",
        "credential": "LMHC, NCC, Q.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009918500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.