Individual provider Active NPI

Lillian J Tinsley, RMHI

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1487498317
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
25639 Issued in FL
Practice address
533 N Nova Rd Ste 114
Ormond Beach, FL 32174-4421
Phone
(386) 227-7014
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 720599 FL
Mental Health Counselor 101YM0800X 25639 FL Primary

Addresses

Primary practice location

533 N Nova Rd Ste 114
Ormond Beach, FL 32174-4421

Mailing address

5311 Georgia Peach Ave
Port Orange, FL 32128-7534
Phone (386) 506-9591

Other practice location 1

5311 Georgia Peach Ave
Port Orange, FL 32128-7534
Phone (386) 506-9591

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
25639FLMDMental Health Counselor
720599FLMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Assessments Inc Mental Health CurrentSince Jun 30, 2024 Accepting new patients
Florida Counseling Network LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

533 N Nova Rd
Ste 114
Ormond Beach, FL 32174
Phone (386) 227-7014

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1487498317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 GEORGIA PEACH AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287534",
            "telephone_number": "386-506-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 114",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744421",
            "telephone_number": "386-227-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5311 Georgia Peach Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321287534",
            "country_code": "US",
            "telephone_number": "386-506-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "LILLIAN",
        "middle_name": "J",
        "credential": "RMHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "720599",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "25639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.