Mary K Tatum

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MARY K TATUM

Practice address

515 N Flagler Dr
Suite P-300
West Palm Beach, FL 33401-4321

Phone

(561) 908-4858

Fax

(561) 828-0589

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Mary Katherine Tatum, LMHC

Title

Owner

Phone

(561) 908-4858

Specialties & licenses 6

Addresses

Other names 1

• Tranquil Soul Counseling Doing business as

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1114389871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N FLAGLER DR",
            "address_2": "SUITE P-300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014321",
            "telephone_number": "561-908-4858",
            "fax_number": "561-828-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N FLAGLER DR",
            "address_2": "SUITE P-300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014321",
            "telephone_number": "561-908-4858",
            "fax_number": "561-828-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K TATUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-908-4858",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquil Soul Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walter C Martinez, MD
• Anna Balieiro Martins, RDH, MPH
• Marty Seyler LMHC Cfle P.a.
• Marvin Mordes, M.D., P.a.
• Chelsey Marx, COTA
• Mary M. Colburn, M.D., P.a.
• Pascale Mary, APRN
• Kisha F. Marzouca, MD
• Meibol Mas San Juan
• Angelie Mascarinas, M.D.

• Professional Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.