Individual provider Active NPI

Tania Gorham, MS, LMFT, QS

  • Marriage & Family Therapist
  • Winter Park, FL
National Provider Identifier
1669714887
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3161 Issued in FL
Practice address
1950 Lee Rd Ste 110
Winter Park, FL 32789-1847
Phone
(407) 561-3459
Fax
(321) 296-6847
NPI assigned
Mar 26, 2013
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 MT3161 FL Primary

Addresses

Primary practice location

1950 Lee Rd Ste 110
Winter Park, FL 32789-1847

Mailing address

2882 Glenridge Cir
Merritt Island, FL 32953-2955
Phone (321) 013-3295

Other practice location 1

333 Crockett Blvd Ste 540465
Merritt Island, FL 32953-4393
Phone (321) 514-4102

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XOtherNONE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.discoverycounselservicesmi.com
CONNECT URL https://www.psychologytoday.com/us/therapists/32953/487994?sid=604d2fa171179&ref=6&tr=ResultsRow

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
I20231130002611 FL Practitioner - Marriage and Family Therapist 7315395340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Advance Bariatric CounselingGroup PAC ID 9739417254, 4 clinicians

Practice addresses (Care Compare)

1950 Lee Rd
Suite 110
Winter Park, FL 32789-1847
Phone (407) 564-3459

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Bariatric Counseling CurrentSince Jun 1, 2025 Accepting new patients

Locations

1950 Lee Rd
Ste 110
Winter Park, FL 32789
Phone (407) 561-3459

Networks

  • Freedom Health HMO Network

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, 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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1669714887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 GLENRIDGE CIR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329532955",
            "telephone_number": "321-013-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891847",
            "telephone_number": "407-561-3459",
            "fax_number": "321-296-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Crockett Blvd Ste 540465",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534393",
            "country_code": "US",
            "telephone_number": "321-514-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "TANIA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT, QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "101YM0800X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.discoverycounselservicesmi.com",
            "affiliation": "N",
            "address_1": "1353 N Courtenay Pkwy Ste L",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329534463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/32953/487994?sid=604d2fa171179&ref=6&tr=ResultsRow",
            "affiliation": "N",
            "address_1": "333 Crockett Blvd Ste 540465",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329534393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.