Individual provider Active NPI

Tyna L Baugess, CAP

  • Counselor
  • Orlando, FL
National Provider Identifier
1033455662
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5629 Issued in FL
Practice address
3157 N Alafaya TRL
Orlando, FL 32826-2940
Phone
(407) 215-0095
Fax
(407) 261-0523
NPI assigned
Jan 1, 2013
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5629 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 081148 OH

Addresses

Primary practice location

3157 N Alafaya TRL
Orlando, FL 32826-2940

Mailing address

1766 Sophias Dr Apt 202
Melbourne, FL 32940-6211
Phone (614) 271-3474

Other identifiers 1

IdentifierTypeStateIssuer
1033455662MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081148OHMDAddiction (Substance Use Disorder) Counselor
5629FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1033455662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 SOPHIAS DR APT 202",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406211",
            "telephone_number": "614-271-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262940",
            "telephone_number": "407-215-0095",
            "fax_number": "407-261-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGESS",
        "first_name": "TYNA",
        "middle_name": "L",
        "credential": "CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-01",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "5629",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033455662",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.