Individual provider Active NPI

Fumi Takashina, LMHC, MA

  • Mental Health Counselor
  • Lauderhill, FL
National Provider Identifier
1194328906
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16943 Issued in FL
Practice address
1180 NW 52ND Ave
Lauderhill, FL 33313-6422
Phone
(954) 661-6881
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16943 FL Primary

Addresses

Primary practice location

1180 NW 52ND Ave
Lauderhill, FL 33313-6422

Mailing address

PO Box 8533
Ft Lauderdale, FL 33310-8533
Phone (954) 661-6881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH16943FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1194328906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8533",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333108533",
            "telephone_number": "954-661-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 NW 52ND AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136422",
            "telephone_number": "954-661-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKASHINA",
        "first_name": "FUMI",
        "name_prefix": "Ms.",
        "credential": "LMHC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.