Individual provider Active NPI

Karen Tumbleson, LMHC

  • Professional Counselor
  • Newberry, FL
National Provider Identifier
1437787835
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH-4247 Issued in FL
Practice address
13168 SW 3Rd LN
Newberry, FL 32669-3183
Phone
(352) 494-9515
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH-4247 FL Primary

Addresses

Primary practice location

13168 SW 3Rd LN
Newberry, FL 32669-3183

Mailing address

13168 SW 3Rd LN
Newberry, FL 32669-3183
Phone (352) 494-9515

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 Montrano Ave
St Augustine, FL 32080-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH-4247FLMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1437787835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13168 SW 3RD LN",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693183",
            "telephone_number": "352-494-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13168 SW 3RD LN",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693183",
            "telephone_number": "352-494-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMBLESON",
        "first_name": "KAREN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH-4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

Verify at the official NPI Registry.