Taneikwe Lakisha Grey-Budham, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7240 Issued in FL

Practice address

3800 W Broward Blvd
Suite100
Ft Lauderdale, FL 33312-1018

Phone

(954) 587-1008

NPI assigned

Aug 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1245518737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 SW 18TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254725",
            "telephone_number": "305-495-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD",
            "address_2": "SUITE100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "954-587-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY-BUDHAM",
        "first_name": "TANEIKWE",
        "middle_name": "LAKISHA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201966531",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Galland DMD PA
• Samantha E Gregory
• Scott Greig, A.P.
• Eduardo Eliseo Grenet, M.D.
• Simran Grewal
• Ethan Grey, DO
• Shereen Grey, CRNA
• Richard Griff, MA
• Chandler Marquis Griffin, DO
• Nichole Grillo-Santiago

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.