Jordyn E Tilman, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH8945 Issued in FL

Practice address

45 Westwood Ter N
St Petersburg, FL 33710-8325

Phone

(727) 347-9096

NPI assigned

Oct 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1104126085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WESTWOOD TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108325",
            "telephone_number": "727-347-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WESTWOOD TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108325",
            "telephone_number": "727-347-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILMAN",
        "first_name": "JORDYN",
        "middle_name": "E",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029556600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Tiffany, LMHC, LPC
• Sydney Tiiman
• Tikvah Counseling, LLC
• Hephzibah Ebony Tillery, ARNP
• Ariana Tilley
• Delinda D Tim, APRN
• Iyanna Tim, RN
• Patricia Kay Timmerman, OTR
• Ashley Elizabeth Timmons
• Matthew Lee Timmons, PHARMD

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.