Individual provider Active NPI

Stephanie R. Tomlinson, LMHC, MA

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1043963408
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH18113 Issued in FL
Practice address
2544 Centergate Dr Apt 106
Miramar, FL 33025-0723
Phone
(954) 663-0897
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH18113 FL Primary

Addresses

Primary practice location

2544 Centergate Dr Apt 106
Miramar, FL 33025-0723

Mailing address

2544 Centergate Dr Apt 106
Miramar, FL 33025-0723
Phone (954) 663-0897

Other names 1

  • Ms. Stephanie Hodges Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH18113FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1043963408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 CENTERGATE DR APT 106",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330250723",
            "telephone_number": "954-663-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 CENTERGATE DR APT 106",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330250723",
            "telephone_number": "954-663-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "STEPHANIE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LMHC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH18113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HODGES",
            "prefix": "MS.",
            "credential": "LMHC, MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.