Tammy Star, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7949 Issued in FL

Practice address

7777 N Wickham Rd Ste 12-224
Viera, FL 32940-7976

Phone

(321) 223-8003

Fax

(321) 452-2802

NPI assigned

Nov 20, 2006

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kid's Theraplay, Inc

  • Mental Health Counselor
  • Cumberland, MD
  • NPI 1508159773
  NPD (past) Authorized official
• Relax Relight Renew

  • Counselor
  • Viera, FL
  • NPI 1821815135
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1265506190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SHORT ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015712",
            "telephone_number": "321-223-8003",
            "fax_number": "321-452-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 N WICKHAM RD STE 12-224",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329407976",
            "telephone_number": "321-223-8003",
            "fax_number": "321-452-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAR",
        "first_name": "TAMMY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008070200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "205636867",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811814100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "Z117J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Space Coast Endodontics, PLLC
• Space Coast Lymphedema Clinic LLC
• Space Coast Pediatrics LLC
• Robin Marie Speck
• Michael Stewart Spicer, MD
• Anh Stein Stein, MD
• Kai-Wyn Annika Sterling, CPHT
• Karen Marie Stewart, FNP-C
• Cecilia Joycelyn Stinson
• Kathy June Styles, RPH

• Mental Health Counselor in Viera, FL
• Providers in Viera, 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 Apr 6, 2023; 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.