Individual provider Active NPI

T'Shelle Taylor, MA, LMFT

  • Marriage & Family Therapist
  • Coral Gables, FL
National Provider Identifier
1518620384
Registry record updated Apr 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4163 Issued in FL
Practice address
1 Alhambra PLZ Ste PH
Coral Gables, FL 33134-5227
Phone
(510) 345-4379
NPI assigned
Oct 19, 2021
Last updated
Apr 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4163 FL Primary

Addresses

Primary practice location

1 Alhambra PLZ Ste PH
Coral Gables, FL 33134-5227

Mailing address

11971 NW 2ND MNR
Coral Springs, FL 33071-8014
Phone (954) 940-0287

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000516 FL Practitioner - Marriage and Family Therapist 9931649852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Psychotherapy Associates LLC Marriage & Family Therapist CurrentSince Aug 28, 2024 Accepting new patients
Seasons Psychotherapy Associates LLC Marriage & Family Therapist CurrentSince Aug 28, 2024 Accepting new patients
Seasons Psychotherapy Associates LLC Marriage & Family Therapist Past Accepting new patients

Locations

10139 NW 31st St
Ste 102
Coral Springs, FL 33065
Phone (954) 342-0982

12505 Orange Dr
Ste 901
Davie, FL 33330
Phone (954) 342-0982

2601 E Oakland Park Blvd
Ste 205
Ft Lauderdale, FL 33306
Phone (954) 342-0982

3750 Gunn Hwy
Ste 101
Tampa, FL 33618
Phone (813) 592-8600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1518620384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11971 NW 2ND MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718014",
            "telephone_number": "954-940-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALHAMBRA PLZ STE PH",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345227",
            "telephone_number": "510-345-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "T'SHELLE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.