Individual provider Active NPI

Norma Joanne Vaillette, LMHC, MT-BC

  • Professional Counselor
  • Lakeland, FL
National Provider Identifier
1700994761
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH7955 Issued in FL
Practice address
215 E Oak St
Lakeland, FL 33801-4841
Phone
(863) 284-0817
Fax
(863) 284-0608
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH7955 FL Primary

Addresses

Primary practice location

215 E Oak St
Lakeland, FL 33801-4841

Mailing address

215 E Oak St
Lakeland, FL 33801-4841
Phone (863) 284-0817

Other identifiers 4

IdentifierTypeStateIssuer
000921800MedicaidFL
7561664OtherFLAETNA
790160-000OtherFLMAGELLAN
Z084DOtherFLBLUECROSS BLUESHIELD

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
MH7955FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kara T. Tamanini P.a. PastSince Sep 6, 2020 Accepting new patients
Catalyst Counseling LLC Professional Past Accepting new patients

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1700994761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E OAK ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014841",
            "telephone_number": "863-284-0817",
            "fax_number": "863-284-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E OAK ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014841",
            "telephone_number": "863-284-0817",
            "fax_number": "863-284-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILLETTE",
        "first_name": "NORMA",
        "middle_name": "JOANNE",
        "credential": "LMHC, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH7955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000921800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7561664",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "790160-000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "Z084D",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.