Individual provider Active NPI

Meghan D Mahoum-Nassar, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1265703565
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11238 Issued in FL
Practice address
730 S Sterling Ave
Tampa, FL 33609-4542
Phone
(813) 474-4673
NPI assigned
Jan 18, 2012
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH11238 FL
Mental Health Counselor 101YM0800X MH11238 FL Primary

Addresses

Primary practice location

730 S Sterling Ave
Tampa, FL 33609-4542

Mailing address

PO Box 18984
Tampa, FL 33679-8984
Phone (813) 368-1829

Other names 1

  • Meghan D McIntosh Former name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH11238FLMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1265703565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18984",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336798984",
            "telephone_number": "813-368-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S STERLING AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094542",
            "telephone_number": "813-474-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOUM-NASSAR",
        "first_name": "MEGHAN",
        "middle_name": "D",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH11238",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "MCINTOSH",
            "middle_name": "D",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.