Christyl M Tabb Garcia, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19147 Issued in FL

Practice address

103 Lewis St
Fort Walton Beach, FL 32547-3142

Phone

(850) 374-3333

Fax

(850) 362-6826

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aimee Garcia Professional name

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gray Matter Neuropsyhcological Consultants, LLC Dba the Mind StudioGroup PAC ID 6901282979, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Gray Matter Neuropsyhcological Consultants, LLC Dba the Mind Studio

  • Clinical Neuropsychologist
  • Niceville, FL
  • NPI 1760119978

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1790367878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 KEPNER DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485145",
            "telephone_number": "850-225-6949",
            "fax_number": "850-362-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LEWIS ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473142",
            "telephone_number": "850-374-3333",
            "fax_number": "850-362-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABB GARCIA",
        "first_name": "CHRISTYL",
        "middle_name": "M",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "GARCIA",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erin Beth Sutton, D.M.D.
• Paige Catherine Sweeney
• Kylee Marie Sweet, OTR/L
• Steve Randolph Switzer, PA-C
• Amelia Szuch
• Tactical Rehabilitation Inc
• Meghan K Takacs, PTA
• Cassandra Tang
• Tara Harden M.D., P.a.
• Paul Tartarilla, APRN

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.