Individual provider Active NPI

Taylor Shea Blomvik, M.S., RMHCI

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1336065606
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH29449 Issued in FL
Practice address
700 W 23Rd St Ste F
Panama City, FL 32405-3936
Phone
(850) 604-3834
NPI assigned
Jun 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH29449 FL Primary

Addresses

Primary practice location

700 W 23Rd St Ste F
Panama City, FL 32405-3936

Mailing address

700 W 23Rd St Ste 7
Panama City, FL 32405-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1336065606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST STE 7",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST STE F",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053936",
            "telephone_number": "850-604-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMVIK",
        "first_name": "TAYLOR",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "M.S., RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH29449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.