Individual provider Active NPI

Nena Tahil, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1720609399
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17943 Issued in FL
Practice address
1478 Riverplace Blvd Apt 905
Jacksonville, FL 32207-1838
Phone
(201) 478-9920
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17943 FL Primary

Addresses

Primary practice location

1478 Riverplace Blvd Apt 905
Jacksonville, FL 32207-1838

Mailing address

1478 Riverplace Blvd Apt 905
Jacksonville, FL 32207-1838
Phone (201) 478-9920

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
MH17943FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1720609399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 RIVERPLACE BLVD APT 905",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071838",
            "telephone_number": "201-478-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 RIVERPLACE BLVD APT 905",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071838",
            "telephone_number": "201-478-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIL",
        "first_name": "NENA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.