Individual provider Active NPI

Tiffiny Ann Overath

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1043919483
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW18847 Issued in FL
Practice address
1600 W Eau Gallie Blvd Ste 201H
Melbourne, FL 32935-4149
Phone
(319) 331-4502
NPI assigned
Feb 24, 2023
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007517 IA
Mental Health Counselor 101YM0800X SW18847 FL Primary

Addresses

Primary practice location

1600 W Eau Gallie Blvd Ste 201H
Melbourne, FL 32935-4149

Mailing address

1600 W Eau Gallie Blvd Ste 201H
Melbourne, FL 32935-4149
Phone (319) 331-4502

Other practice location 1

500 Locust St
Des Moines, IA 50309-4104
Phone (515) 335-8178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230310001656 FL Practitioner - Clinical Social Worker 4082087143 Reassigns benefits to 2 organizations
I20240513002482 IA Practitioner - Clinical Social Worker 4082087143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flowstate Health LLCGroup PAC ID 1254718398, 14 clinicians

Practice addresses (Care Compare)

1600 W Eau Gallie Blvd
Suite 201H
Melbourne, FL 32935-4149
Phone (772) 202-8811

500 Locust St
Des Moines, IA 50309-4104
Phone (515) 805-0956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Journey Forward Counseling Center LLC Clinical CurrentSince May 25, 2024 Accepting new patients
Counseling Resource Services, Inc. CurrentSince Feb 23, 2023 Accepting new patients
Flowstate Health LLC Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

1600 W Eau Gallie Blvd
Ste 201H
Melbourne, FL 32935
Phone (319) 331-4502

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787
Phone (407) 654-4433

500 Locust St
Des Moines, IA 50309
Phone (515) 523-5550

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1043919483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD STE 201H",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "319-331-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD STE 201H",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "319-331-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Locust St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094104",
            "country_code": "US",
            "telephone_number": "515-335-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERATH",
        "first_name": "TIFFINY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW18847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.