Active NPI
Mary Tatum, LMHC
- Professional Counselor
- West Palm Beach, FL
National Provider Identifier
1225423163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 515 N Flagler Dr
Suite P-300
West Palm Beach, FL 33401-4321 - Phone
- (561) 376-7271
- NPI assigned
- Mar 30, 2015
- Last updated
- Mar 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
515 N Flagler Dr
Suite P-300
West Palm Beach, FL 33401-4321
Mailing address
515 N Flagler Dr
Suite P-300
West Palm Beach, FL 33401-4321
Phone (561) 376-7271
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1225423163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N FLAGLER DR",
"address_2": "SUITE P-300",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334014321",
"telephone_number": "561-376-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N FLAGLER DR",
"address_2": "SUITE P-300",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334014321",
"telephone_number": "561-376-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "MARY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.