Individual provider Active NPI

Evelyn Cristina Tarud, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1346404548
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9431 Issued in FL
Practice address
9680 Fairgrounds Rd
West Palm Beach, FL 33411-3528
Phone
(561) 333-0664
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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 MH9431 FL Primary

Addresses

Primary practice location

9680 Fairgrounds Rd
West Palm Beach, FL 33411-3528

Mailing address

9680 Fairgrounds Rd
West Palm Beach, FL 33411-3528
Phone (561) 333-0664

Other identifiers 1

IdentifierTypeStateIssuer
MH9431OtherFLFLORIDA DEPARTMENT OF HEALTH

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

State licenses

LicenseStateTypeSpecialty
MH9431FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sequel Tsi of Florida, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1346404548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 FAIRGROUNDS RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113528",
            "telephone_number": "561-333-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 FAIRGROUNDS RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113528",
            "telephone_number": "561-333-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARUD",
        "first_name": "EVELYN",
        "middle_name": "CRISTINA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "MH9431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.