NPIMap

Organization Active NPI

Tampa Bay Area Counseling

Doing business as TBAC Group

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1508409319
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TAMPA BAY AREA COUNSELING
Doing business as
TBAC Group
Practice address
16502 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone
(727) 732-4305
NPI assigned
Oct 24, 2019
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Dr. Charisse Diaz, PSYD LMHCNPI 1295144699
Title
Ceo
Phone
(813) 601-0595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

16502 N Dale Mabry Hwy
Tampa, FL 33618-1325

Mailing address

2868 Living Coral Dr
Odessa, FL 33556-5123
Phone (813) 601-0595

Other practice location 1

3607 Alt 19
Palm Harbor, FL 34683-1412
Phone (727) 732-4305

Other names 1

  • TBAC Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104002928 FL Part B Supplier - Clinic/Group Practice 5193176006 Receives reassigned benefits from 22 practitioners
Practice locations: Tampa, FL; Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

2708 Alt 19
Ste 507-13
Palm Harbor, FL 34683
Phone (727) 201-2163

3607 Alt 19
Palm Harbor, FL 34683
Phone (727) 732-4305

16502 N Dale Mabry Hwy
Tampa, FL 33618
Phone (727) 732-4305

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1508409319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 LIVING CORAL DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565123",
            "telephone_number": "813-601-0595",
            "fax_number": "727-499-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16502 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "727-732-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3607 Alt 19",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346831412",
            "country_code": "US",
            "telephone_number": "727-732-4305",
            "fax_number": "727-499-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA BAY AREA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-601-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LMHC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TBAC Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.