Individual provider Active NPI

Tanya Delanie Samuels, DR. LMHC

  • Mental Health Counselor
  • Ruskin, FL
National Provider Identifier
1669973640
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH28257 Issued in FL
Practice address
1043 Seminole Sky Dr
Ruskin, FL 33570-2024
Phone
(813) 944-7976
NPI assigned
Feb 23, 2018
Reactivated
Aug 27, 2026
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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 MH28257 FL Primary

Addresses

Primary practice location

1043 Seminole Sky Dr
Ruskin, FL 33570-2024

Mailing address

1043 Seminole Sky Dr
Ruskin, FL 33570-2024
Phone (813) 944-7976

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH28257FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delanie Substance Abuse Counseling & Wellness Inc Mental Health CurrentSince Aug 24, 2026 Accepting new patients
Delanie Substance Abuse Counseling & Wellness Inc Mental Health CurrentSince Aug 24, 2026 Accepting new patients
Tanya Samuels Past Accepting new patients

Locations

501 E Kennedy Blvd
Ste 1400
Tampa, FL 33602
Phone (813) 638-0859

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1669973640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 SEMINOLE SKY DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702024",
            "telephone_number": "813-944-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 SEMINOLE SKY DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702024",
            "telephone_number": "813-944-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "TANYA",
        "middle_name": "DELANIE",
        "credential": "DR. LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "deactivation_date": "2023-11-15",
        "reactivation_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.