Active NPI
Katiuska Tanner, LMHC, NCC
- Mental Health Counselor
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15282
- Practice address
- 6692 59TH CT
Vero Beach, FL 32967-5210 - Phone
- (305) 799-4008
- NPI assigned
- Jun 10, 2021
- Last updated
- Nov 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15282 | FL | Primary |
Addresses
Primary practice location
6692 59TH CT
Vero Beach, FL 32967-5210
Mailing address
6692 59TH CT
Vero Beach, FL 32967-5210
Phone (305) 799-4008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6801 Breacksville Rd
Independence, OH 44131-5058
6801 Brecksville Rd
Suite 20
Independence, OH 44131-5058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15282 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
1000 36th St
Ste 5105
Vero Beach, FL 32960
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Urology Physician
- Vero Beach, FL
- NPI 1376864108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668816000000",
"number": "1457929093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6692 59TH CT",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329675210",
"telephone_number": "305-799-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6692 59TH CT",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329675210",
"telephone_number": "305-799-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "KATIUSKA",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2022-11-19",
"certification_date": "2022-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Takisha Stringer LLC (Dunamis Greater Solutions)
- Kenaz Taleb, MD
- Melissa Talley, OTR/L, CHT
- Tandem Health Care of Vero Beach, Inc. (Tandem Health Care of Vero Beach)
- Jaime Erin Tanner, M.S., BCBA
- Tara Moran RDN LLC
- Christopher P Tardif, MD
- Targeted Treatment Solutions
- Christopher Aaron Tarpein, PA
- Tasse Neuropsychiatric Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.