Active NPI
Katia Tikhonravova, PH.D.
- Marriage & Family Therapist
- Pompano Beach, FL
National Provider Identifier
1730895855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3336
- Practice address
- 2101 N Federal Hwy # D110
Pompano Beach, FL 33062-1024 - Phone
- (954) 253-2720
- NPI assigned
- Jan 24, 2023
- Last updated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT3336 | FL | Primary |
Addresses
Primary practice location
2101 N Federal Hwy # D110
Pompano Beach, FL 33062-1024
Mailing address
812 S Riverside Dr
Pompano Beach, FL 33062-6200
Phone (954) 253-2720
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katiatikho@gmial.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240709004606 | FL | Practitioner - Marriage and Family Therapist | 0244775716 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapist Group USA, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Eastern Family Trauma Treatment Center, LLC | Current | Accepting new patients |
Locations
2101 N Federal Hwy
#D111
Pompano Beach, FL 33062
Phone (954) 253-2720
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Hollywood, FL
- NPI 1972478931
-
- Marriage & Family Therapist
- Pompano Beach, FL
- NPI 1881309250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1730895855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 S RIVERSIDE DR",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330626200",
"telephone_number": "954-253-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N FEDERAL HWY # D110",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330621024",
"telephone_number": "954-253-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIKHONRAVOVA",
"first_name": "KATIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3336",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katiatikho@gmial.com",
"affiliation": "N",
"endpointDescription": "Business name 'United Therapist Group USA, LLC' registered in FL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2101 N Federal Hwy # D110",
"city": "Pompano Beach",
"state": "FL",
"country_code": "US",
"postal_code": "330621024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.