Individual provider Active NPI

Tavajah Brandon Hunter, M.S. ED.

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1679054365
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1000 N Hiatus Rd Ste 161
Pembroke Pines, FL 33026-3097
Phone
(954) 333-8787
NPI assigned
Aug 22, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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 Primary

Addresses

Primary practice location

1000 N Hiatus Rd Ste 161
Pembroke Pines, FL 33026-3097

Mailing address

11951 NW 29TH St
Sunrise, FL 33323-1503
Phone (305) 847-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services Northeast, PC CurrentSince Jan 17, 2025 Accepting new patients

Locations

320 Patchogue Holbrook Rd
Holbrook, NY 11741
Phone (631) 289-5400

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

300 Amsterdam Ave
New York, NY 10023
Phone (212) 595-8983

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1679054365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 NW 29TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231503",
            "telephone_number": "305-847-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD STE 161",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263097",
            "telephone_number": "954-333-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "TAVAJAH",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "M.S. ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.