Active NPI
Paige Telan
- Mental Health Counselor
- Pompano Beach, FL
National Provider Identifier
1770152134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8088
- Practice address
- 1409 NE 29TH St
Pompano Beach, FL 33064-6827 - Phone
- (954) 263-3997
- NPI assigned
- Jun 21, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8088 | FL | Primary |
Addresses
Primary practice location
1409 NE 29TH St
Pompano Beach, FL 33064-6827
Mailing address
1409 NE 29TH St
Pompano Beach, FL 33064-6827
Phone (954) 263-3997
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8088 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1770152134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 NE 29TH ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330646827",
"telephone_number": "954-263-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 NE 29TH ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330646827",
"telephone_number": "954-263-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELAN",
"first_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "8088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
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- Zach James Taylor, B.A.
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- Tcet Holding Companies Inc Dba Interim Healthcare of Pompano Beach
- Charles Teebagy, MD
- Tender Loving Care Health Care Solutions Inc
- Marc Edward Tennenbaum, D.O.
- Laurentiu Teodoru, D.M.D.
- Vincent John Terlecki
- Frances Latoya Terlonge, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.