Active NPI
Tiffiny Ann Overath
- Mental Health Counselor
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW18847
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Journey Forward Counseling Center LLC | Clinical | Current | Accepting new patients |
| Counseling Resource Services, Inc. | Current | Accepting new patients | |
| Flowstate Health LLC | Mental Health | Current | 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.
-
dba Journey Forward Counseling LLC
- Clinical Social Worker
- Melbourne, FL
- NPI 1720837933
-
- Psychiatric/Mental Health Nurse Practitioner
- Des Moines, IA
- NPI 1114678141
-
- Community/Behavioral Health Agency
- Winter Garden, FL
- NPI 1164819041
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.