Active NPI
Jaime S Tallon Sr., MH, PSYD, CMHP, CAP
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1699103812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7243
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7243 | FL | MD | Mental Health Counselor |
| 50541 | FL | MD | Professional 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.