Active NPI
Meghan D Mahoum-Nassar, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1265703565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11238
- Practice address
- 730 S Sterling Ave
Tampa, FL 33609-4542 - Phone
- (813) 474-4673
- NPI assigned
- Jan 18, 2012
- Last updated
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11238 | FL | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.