Individual provider Active NPI

Jaime S Tallon Sr., MH, PSYD, CMHP, CAP

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1699103812
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7243 Issued in FL
Practice address
7490 SW 23Rd St
Suite No, 201
Miami, FL 33155-1419
Phone
(786) 953-8221
Fax
(305) 485-3048
NPI assigned
Oct 25, 2013
Last updated
Oct 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7243 FL Primary
Professional Counselor 101YP2500X 50541 FL

Addresses

Primary practice location

7490 SW 23Rd St
Suite No, 201
Miami, FL 33155-1419

Mailing address

7490 SW 23Rd St
Suite No, 201
Miami, FL 33155-1419
Phone (786) 953-8221

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

State licenses

LicenseStateTypeSpecialty
7243FLMDMental Health Counselor
50541FLMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1699103812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 SW 23RD ST",
            "address_2": "SUITE NO, 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551419",
            "telephone_number": "786-953-8221",
            "fax_number": "305-485-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 SW 23RD ST",
            "address_2": "SUITE NO, 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551419",
            "telephone_number": "786-953-8221",
            "fax_number": "305-485-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLON",
        "first_name": "JAIME",
        "middle_name": "S",
        "name_suffix": "Sr.",
        "credential": "MH, PSYD, CMHP, CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "7243",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "50541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.