Tamara Ciupik

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22272 Issued in FL

Practice address

404 Tulipwood LN
Chuluota, FL 32766-6034

Phone

(407) 341-8636

NPI assigned

Jun 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1689359234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TULIPWOOD LN",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327666034",
            "telephone_number": "407-341-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 TULIPWOOD LN",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327666034",
            "telephone_number": "407-341-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUPIK",
        "first_name": "TAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy M Bolles, LCSW
• Engy Kheir Boutros
• Bright Morning Star Assisted Living Facility,Inc (Bright Morning Star Assisted Living,Inc)
• Erica Margaret Carrillo
• Chuluota Clinic, LLC
• Therese Ballasch Coleman
• Comfortable Care Dental Health Professionals, P.a. (Sterling Creek Dental Care)
• Brynne Coupland
• Catherine Craine
• David Digiandomenico, PA-C

• Mental Health Counselor in Chuluota, FL
• Providers in Chuluota, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.