Christina Tatum
Individual provider Active NPI Professional Counselor · Lawtey, FL
NPI 1154920767 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1154920767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 23051 NW County Road 200a
Lawtey, FL 32058-4215 - Phone
- (904) 966-1585
- NPI assigned
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 E Call St
Starke, FL 32091-3317
Phone (904) 364-0870
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 |
|---|---|---|---|---|
| I20251029001443 | FL | Practitioner - Mental Health Counselor | 7810486040 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CT Counseling LLC | Professional | Current |
Accepting new patients |
Locations
109 E Call St
Starke, FL 32091
Phone (904) 364-0870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
23051 NW County Road 200a
Lawtey, FL 32058-4215
Mailing address
23051 NW County Road 200a
Lawtey, FL 32058-4215
Phone (904) 966-1585
Other providers in Lawtey, FL
- Macey Faith Hardee
- Ryan Hendrieth
- Nikita L Jenkins
- Mernies Counseling LLC
- Slocum'S Adult Family Care LLC
- Lynn Wiggins
- Myrna Christine Williams
- Young Hearts Extended Assisted Living Facility, LLC
- Young Hearts Extended Assisted Living Facility, LLC
- Young Hearts Extended Assisted Living Facility, LLC
All providers in Lawtey, FL · Professional 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 Oct 20, 2025. 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.