Individual provider Active NPI

Sarah Tilley, M.A., NCC, LMHC

  • Professional Counselor
  • Panama City Beach, FL
National Provider Identifier
1235578972
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16517 Issued in FL
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

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
16517FLMDProfessional Counselor
0701005307VAMDProfessional Counselor
LPC-13607WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.