Individual provider Active NPI

Tami Lentin Stadlen, L.M.H.C.

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1396915161
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 4652 Issued in FL
Practice address
1152 N University Dr Ste 200
Pembroke Pines, FL 33024-5012
Phone
(954) 962-1225
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 MH 4652 FL Primary

Addresses

Primary practice location

1152 N University Dr Ste 200
Pembroke Pines, FL 33024-5012

Mailing address

15490 NW 7TH Ave
Miami, FL 33169-6250
Phone (305) 685-8245

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
MH 4652FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1396915161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15490 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696250",
            "telephone_number": "305-685-8245",
            "fax_number": "305-681-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N UNIVERSITY DR STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245012",
            "telephone_number": "954-962-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADLEN",
        "first_name": "TAMI",
        "middle_name": "LENTIN",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.