Tianny Cendan, LMHC, RMFTI
Individual provider Active NPI Mental Health Counselor · Miami, FL
NPI 1124511548 · NPPES record last updated Feb 15, 2024
Key facts
- NPI
- 1124511548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH15509 (FL)
- Practice address
- 22790 SW 112TH Ave
Miami, FL 33170-7602 - Phone
- (305) 232-2626
- Fax
- (305) 377-9207
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Agape Network, Inc.
Practice addresses (Care Compare)
22790 SW 112TH Ave
South Florida Jail Ministries Inc
Miami, FL 33170-7602
Phone (305) 235-2616
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213004233 | FL | Practitioner - Mental Health Counselor | 9638513047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15509 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Network, Inc. | Current |
Accepting new patients | |
| Agape Network, Inc. | Current |
Accepting new patients |
Locations
22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616
22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15509 | FL | Yes |
Addresses
Primary practice location
22790 SW 112TH Ave
Miami, FL 33170-7602
Mailing address
3240 SW 109TH Ave
Miami, FL 33165
Phone (305) 282-7690
Other practice location 1
3240 SW 109th Ave
Miami, FL 33165-2304
Phone (305) 282-7690
Other providers in Miami, FL
- Ueda Cenaj
- Yanaire Cencepcion Rivero
- Anabel Cendan
- Ignacio Cendan
- Maria Elena Cendan
- Yanaicy Cendoya
- Judette Cenelus
- Amelia Roseline Cenevil
- Cenit Medical Center
- Centennial Medical Centers, LLC
All providers in Miami, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.