Active NPI
Sarah Tilley, M.A., NCC, LMHC
- Professional Counselor
- Panama City Beach, FL
National Provider Identifier
1235578972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16517
- Practice address
- 400 Thomas Drive
Unit 7108
Panama City Beach, FL 32408 - Phone
- (515) 373-8391
- Fax
- (515) 993-9545
- NPI assigned
- Jun 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005307 | VA | |
| Professional Counselor | 101YP2500X | LPC-13607 | WY | |
| Professional Counselor | 101YP2500X | 16517 | FL | Primary |
Addresses
Primary practice location
400 Thomas Drive
Unit 7108
Panama City Beach, FL 32408
Mailing address
3803 Whitehead Blvd
Panama City, FL 32404-4102
Phone (757) 753-1939
Other practice location 1
518 E 18th St
Cheyenne, WY 82001-4618
Phone (307) 509-0722
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16517 | FL | MD | Professional Counselor |
| 0701005307 | VA | MD | Professional Counselor |
| LPC-13607 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Tilley LMHC LLC | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Panama City Beach, FL
- NPI 1326525510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1235578972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 WHITEHEAD BLVD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324044102",
"telephone_number": "757-753-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 THOMAS DRIVE",
"address_2": "UNIT 7108",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "32408",
"telephone_number": "515-373-8391",
"fax_number": "515-993-9545"
}
],
"practiceLocations": [
{
"address_1": "518 E 18th St",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820014618",
"country_code": "US",
"telephone_number": "307-509-0722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TILLEY",
"first_name": "SARAH",
"credential": "M.A., NCC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-16",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005307",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-13607",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "16517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.