Individual provider Active NPI

Caroline Tiffany Vinyard, L.M.H.C.

  • Mental Health Counselor
  • Riviera Beach, FL
National Provider Identifier
1801170865
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 10910 Issued in FL
Practice address
2051 Martin Luther King Jr Blvd
Riviera Beach, FL 33404-7004
Phone
(561) 683-4778
Fax
(561) 683-9995
NPI assigned
Oct 7, 2011
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 MH 10910 FL Primary

Addresses

Primary practice location

2051 Martin Luther King Jr Blvd
Riviera Beach, FL 33404-7004

Mailing address

8635 SE Alabama PL
Hobe Sound, FL 33455-4301
Phone (772) 713-0658

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
I20240409003643 FL Practitioner - Mental Health Counselor 7012355027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 10910FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guardians for New Futures, Inc. Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 5, 2024 Accepting new patients
Remedy Therapy, LLC Past Accepting new patients
Remedy Therapy, LLC Mental Health Past Accepting new patients
Bridge to Wellness Counseling and Consultation Mental Health Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

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": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1801170865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 SE ALABAMA PL",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554301",
            "telephone_number": "772-713-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARTIN LUTHER KING JR BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334047004",
            "telephone_number": "561-683-4778",
            "fax_number": "561-683-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINYARD",
        "first_name": "CAROLINE",
        "middle_name": "TIFFANY",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

Verify at the official NPI Registry.