Tysha Kenyetta Pittman, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH16242 Issued in FL

Practice address

1021 Cascade Cir Apt 208
Rockledge, FL 32955-8074

Phone

(321) 947-6656

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1497257133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CASCADE CIR APT 208",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558074",
            "telephone_number": "321-947-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CASCADE CIR APT 208",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558074",
            "telephone_number": "321-947-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "TYSHA",
        "middle_name": "KENYETTA",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH16242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pineapple Garden Inc
• Jonathan Albert Pinto, M.D.
• Carrie Elizabeth Piscia, LCSW
• Gregory Pitsaris, PHARMD
• Tylynn Pittman
• Danika Pivarnik, OT
• Play for Real Therapy Services LLC
• Herbert P Pleiman Jr., DDS
• Krzysztof B Podjaski, M.D.
• Steven Daniel Podnos, M.D.

• Mental Health Counselor in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.