Individual provider Active NPI

Katia Tikhonravova, PH.D.

  • Marriage & Family Therapist
  • Pompano Beach, FL
National Provider Identifier
1730895855
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3336 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709004606 FL Practitioner - Marriage and Family Therapist 0244775716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
United Therapist Group USA, LLC Marriage & Family Therapist CurrentSince May 25, 2024 Accepting new patients
Eastern Family Trauma Treatment Center, LLC CurrentSince Oct 12, 2025 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.

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

Verify at the official NPI Registry.