Organization Active NPI

Isa Tanenbaum Inc

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1174924682
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5265 Issued in FL
Legal business name
ISA TANENBAUM INC
Practice address
2950 Halcyon LN
Suite 701
Jacksonville, FL 32223-6689
Phone
(904) 292-2407
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Ms. Isabel Tanenbaum, LMHCNPI 1326085283
Title
Owner
Phone
(904) 292-2407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH5265 FL Primary

Addresses

Primary practice location

2950 Halcyon LN
Suite 701
Jacksonville, FL 32223-6689

Mailing address

2652 Sims Cove LN
Jacksonville, FL 32223-7118
Phone (904) 292-2407

Other identifiers 1

IdentifierTypeStateIssuer
Z9487OtherFLFLORIDA BLUE ID

Other names 1

  • Begnnings Counseling & Recovry Doing business as

National Provider Directory

National Provider Directory

Locations

2950 Halcyon Ln
Ste 701
Jacksonville, FL 32223
Phone (904) 292-2407

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1174924682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 SIMS COVE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237118",
            "telephone_number": "904-292-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HALCYON LN",
            "address_2": "SUITE 701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236689",
            "telephone_number": "904-292-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISA TANENBAUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-292-2407",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE ID",
            "identifier": "Z9487",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Begnnings Counseling & Recovry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.