Andrea Tang Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13888 Issued in FL

Legal business name

ANDREA TANG COUNSELING SERVICES, LLC

Practice address

433 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731

Phone

(772) 999-1438

Fax

(772) 800-1056

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Andrea Tang, LMHC, NCCNPI 1972968550

Title

Owner

Phone

(772) 999-1438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Tang

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1972968550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1649630187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-999-1438",
            "fax_number": "772-800-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-999-1438",
            "fax_number": "772-800-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA TANG COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-999-1438",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmin Fay Anderson, ARNP
• Alisson Nahomy Andino Ochoa
• Ines Andino
• Omayra Ammeris Andino
• Melisa Andre Andre, MSW
• Kristin S Andres
• Kathryn A Andrews, ARNP
• Lagrand Evan Andrews
• Lauren Andrews, RBT
• Marina Androssova, M.D.

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, 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 Nov 17, 2016; 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.