Individual provider Active NPI

Tamara Lee Mohammed, MS

  • Mental Health Counselor
  • Oviedo, FL
National Provider Identifier
1679809487
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11790 Issued in FL
Practice address
441 N Central Ave Ste 1007
Oviedo, FL 32765-7423
Phone
(340) 277-3079
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0203951 NM
Mental Health Counselor 101YM0800X LPC.0014703 CO
Mental Health Counselor 101YM0800X 2-28262-2B VI
Mental Health Counselor 101YM0800X MH11790 FL Primary

Addresses

Primary practice location

441 N Central Ave Ste 1007
Oviedo, FL 32765-7423

Mailing address

441 N Central Ave Ste 1007
Oviedo, FL 32765-7423
Phone (407) 454-7343

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC.0014703COMDMental Health Counselor
MH11790FLMDMental Health Counselor
CCMH0203951NMMDMental Health Counselor
2-28262-2BVIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Changes Technologies CurrentSince Nov 9, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Greater Changes LLC. CurrentSince Feb 9, 2020 Accepting new patients

Locations

441 N Central Ave
Ste 1007
Oviedo, FL 32765
Phone (340) 277-3079

Interoperability endpoints

  • Direct secure messaging: tamaramohammed@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1679809487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N CENTRAL AVE STE 1007",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657423",
            "telephone_number": "407-454-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N CENTRAL AVE STE 1007",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657423",
            "telephone_number": "340-277-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "TAMARA",
        "middle_name": "LEE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0203951",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014703",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VI",
            "license": "2-28262-2B",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.