Individual provider Active NPI

Tanya McIntyre, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1700474707
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18683 Issued in FL
Practice address
1010 N 12TH Ave Ste 324
Pensacola, FL 32501-3492
Phone
(850) 359-2925
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 18683 FL Primary

Addresses

Primary practice location

1010 N 12TH Ave Ste 324
Pensacola, FL 32501-3492

Mailing address

1010 N 12TH Ave Ste 324
Pensacola, FL 32501-3492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404001103 VA Practitioner - Mental Health Counselor 0547784159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18683FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
As I Am Counseling & Therapy, LLC Mental Health CurrentSince Jul 17, 2021 Accepting new patients
Wyndhurst Counseling Center, LLC Single Specialty CurrentSince Mar 17, 2025 Accepting new patients
Taylored Counseling Services LLC Single Specialty PastSince Mar 17, 2025 Accepting new patients

Locations

1010 N 12th Ave
Ste 324
Pensacola, FL 32501
Phone (850) 359-2925

371 Oakdale Cir
Lynchburg, VA 24502
Phone (434) 237-2655

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1700474707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 12TH AVE STE 324",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 12TH AVE STE 324",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013492",
            "telephone_number": "850-359-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.