Abraham Tirado Ayala, CBHCM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1604 17TH Ter NE
Winter Haven, FL 33881-4416

Phone

(863) 288-1635

NPI assigned

Jul 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liderazgo Y Estilo de Vida Transformacional, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Haven, FL
  • NPI 1386295095
  NPD Authorized official

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1679146997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 17TH TER NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814416",
            "telephone_number": "863-288-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 17TH TER NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814416",
            "telephone_number": "863-288-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO AYALA",
        "first_name": "ABRAHAM",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM103930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Riley Thomsen, D.C.
• Bobbie Jo Thornton, FNP-C
• Thrive Right at Home Inc
• Lillie Tidwell
• Felicia Tilack
• John Tivnan, O.D.
• Jahaira Tlaseca-Lora
• TLC Comfort Care Industries Inc
• TLC Comfort Care LLC
• TLC Comfort Care LLC

• Addiction (Substance Use Disorder) Counselor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.