Individual provider Active NPI

Tammy M Austin, LMHC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1457515934
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5031 Issued in FL
Practice address
1025 S Semoran Blvd
Suite 1093
Winter Park, FL 32792-5523
Phone
(407) 678-9800
Fax
(407) 315-0048
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 MH5031 FL Primary

Addresses

Primary practice location

1025 S Semoran Blvd
Suite 1093
Winter Park, FL 32792-5523

Mailing address

1025 S Semoran Blvd Ste 1093
Winter Park, FL 32792-5524
Phone (407) 678-9800

Other identifiers 1

IdentifierTypeStateIssuer
11794876OtherFLCAQH

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1457515934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S SEMORAN BLVD STE 1093",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925524",
            "telephone_number": "407-678-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S SEMORAN BLVD",
            "address_2": "SUITE 1093",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925523",
            "telephone_number": "407-678-9800",
            "fax_number": "407-315-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "TAMMY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11794876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.