Kristin Marie Tomczak, LMHC/LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18632 Issued in FL

Practice address

1010 Brickell Ave Unit 1806
Miami, FL 33131-3763

Phone

(708) 309-8576

NPI assigned

Mar 12, 2008

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristintomczak@tdh.allscriptsdirect.net

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.

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  Authorized official Same address or phone
• Mahyar Parvin PC

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  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
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  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1265603765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BRICKELL AVE UNIT 1806",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313763",
            "telephone_number": "708-309-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BRICKELL AVE UNIT 1806",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313763",
            "telephone_number": "708-309-8576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24821 W 135th St",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605445413",
            "country_code": "US",
            "telephone_number": "815-254-7400",
            "fax_number": "815-254-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC/LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006952",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "18632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Tomas
• Tomasa Rehabilitation Center, Inc
• Natalie Tomasek, PA-C
• Gianna Marie Tomassetti, PHYSICIAN ASSISTANT
• Megan Tombley
• Richard Tome Izquierdo
• Ricardo Tome Quintana, FNP
• Susan Tome-Manjarrez, ARNP
• Liethel Maria Tomey
• Judy Kazuko Tomita, AP

• Professional Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.