Active NPI
Tamare P Piersaint, PSYD
- Mental Health Counselor
- Lauderhill, FL
National Provider Identifier
1629444518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21972
- Practice address
- 4200 NW 16TH St
Lauderhill, FL 33313-5899 - Phone
- (954) 703-0887
- NPI assigned
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC008312 | PA | |
| Mental Health Counselor | 101YM0800X | MH21972 | FL | Primary |
Addresses
Primary practice location
4200 NW 16TH St
Lauderhill, FL 33313-5899
Mailing address
7860 W Commercial Blvd Ste 732
Lauderhill, FL 33351-4324
Phone (547) 030-8879
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH21972 | FL | MD | Mental Health Counselor |
| PC008312 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity for Youth &Families | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1629444518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7860 W COMMERCIAL BLVD STE 732",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333514324",
"telephone_number": "547-030-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 NW 16TH ST",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135899",
"telephone_number": "954-703-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSAINT",
"first_name": "TAMARE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC008312",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.