Tiffany Eve Vastardis, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20180 Issued in FL

Practice address

6410 SW 57TH St
Davie, FL 33314-7106

Phone

(954) 326-2795

NPI assigned

Dec 23, 2020

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment Care Compare group
• Impetus Integrative Counseling & Wellness Solutions, PLLC

  • Mental Health Counselor
  • Davie, FL
  • NPI 1588501720
  NPD Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1275120271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 SW 44TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333146720",
            "telephone_number": "954-326-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 SW 57TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147106",
            "telephone_number": "954-326-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASTARDIS",
        "first_name": "TIFFANY",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Vasco
• Briseyda Vasquez
• Gloria Vasquez
• Nelly F Vasquez
• Olga Vasquez
• Natasha Vately, LPN
• Allyson Vaughn, M.A., BCBA
• Zalijah Vaughn
• Gabriella Jennifer Vaysman, CF-SLP
• Yarielis Vazquez Davila

• Mental Health Counselor in Davie, FL
• Providers in Davie, 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 May 4, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.