Active NPI
Tanya Delanie Samuels, DR. LMHC
- Mental Health Counselor
- Ruskin, FL
National Provider Identifier
1669973640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH28257
- Practice address
- 1043 Seminole Sky Dr
Ruskin, FL 33570-2024 - Phone
- (813) 944-7976
- NPI assigned
- Feb 23, 2018
- Reactivated
- Aug 27, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693227 | Other | FL | PROVIDER ENROLLMENT ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ENROLLMENT ID",
"identifier": "693227",
"state": "FL"
}
],
"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.