Individual provider Active NPI

Tatyana Marshall, LCSW

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1578063186
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW12627 Issued in FL
Practice address
7601 N Federal Hwy
Boca Raton, FL 33487-1657
Phone
(561) 336-9326
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW12627 FL Primary

Addresses

Primary practice location

7601 N Federal Hwy
Boca Raton, FL 33487-1657

Mailing address

7601 N Federal Hwy
Boca Raton, FL 33487-1657
Phone (561) 336-9326

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
I20210616002631 FL Practitioner - Clinical Social Worker 7810397544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida Atlantic University, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

1965 Capital Cir NE
102 Elite Dna Therapy Services
Tallahassee, FL 32308-8402
Phone (850) 671-4600

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Light Medical LLC Current Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Dna Comprehensive Therapy Services, LLC Mental Health CurrentSince Jul 15, 2023 Accepting new patients

Locations (25 of 36)

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

11371 Cortez Blvd
Ste 210
Brooksville, FL 34613
Phone (352) 616-7600

418 SW 47th Ter
Cape Coral, FL 33914
Phone (239) 673-9034

14000 S Military Trl
Ste 208
Delray Beach, FL 33484
Phone (561) 563-7110

9401 Corkscrew Palms Cir
Fl 3
Estero, FL 33928

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

2600 S Florida Ave
Lakeland, FL 33803
Phone (863) 732-7200

2913 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 368-9900

12989 Southern Blvd
Ste 102
Loxahatchee, FL 33470
Phone (561) 513-6716

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 986-7442

2230 Venetian Ct
Ste 1
Naples, FL 34109
Phone (239) 236-5448

7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990

1201 US Highway 1
Ste 250
North Palm Beach, FL 33408
Phone (561) 747-2775

2910 Maguire Rd
Ste 2002
Ocoee, FL 34761
Phone (407) 287-1664

1542 Kingsley Ave
Ste 136
Orange Park, FL 32073
Phone (904) 214-3222

1532 Kingsley Ave
Ste 112
Orange Park, FL 32073
Phone (904) 214-3222

3157 N Alafaya Trl
Orlando, FL 32826
Phone (407) 215-0095

285 Clyde Morris Blvd
#300B
Ormond Beach, FL 32174

1115 E Gonzalez St
Pensacola, FL 32503
Phone (850) 483-1145

1777 Tamiami Trl
Ste 201
Port Charlotte, FL 33948
Phone (941) 249-4354

3191 Harbor Blvd
Ste B
Port Charlotte, FL 33952
Phone (941) 624-2141

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

Interoperability endpoints

  • Direct secure messaging: tatyana.marshall.1@13142.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1578063186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871657",
            "telephone_number": "561-336-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871657",
            "telephone_number": "561-336-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TATYANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW12627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.