Individual provider Active NPI

Jennifer Tiech, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1194364893
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5917 Issued in FL
Practice address
2901 W Cypress Creek Rd Ste 123124
Fort Lauderdale, FL 33309-1730
Phone
(954) 915-7444
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 5917 FL Primary

Addresses

Primary practice location

2901 W Cypress Creek Rd Ste 123124
Fort Lauderdale, FL 33309-1730

Mailing address

2901 W Cypress Creek Rd Ste 123124
Fort Lauderdale, FL 33309-1730
Phone (954) 915-7444

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

State licenses

LicenseStateTypeSpecialty
5917FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Recovery Center of S Florida, LLC Past Accepting new patients
TLC Recovery Center of South Florida PastSince May 16, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1194364893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 123124",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091730",
            "telephone_number": "954-915-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 123124",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091730",
            "telephone_number": "954-915-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIECH",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "5917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.