Individual provider Active NPI

Tanesha Burns, LMHC

  • Mental Health Counselor
  • Sanford, FL
National Provider Identifier
1811394570
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15463 Issued in FL
Practice address
209 San Carlos Ave Ste 111a
Sanford, FL 32771
Phone
(407) 431-7866
Fax
(407) 386-9611
NPI assigned
Nov 24, 2014
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 MH15463 FL Primary

Addresses

Primary practice location

209 San Carlos Ave Ste 111a
Sanford, FL 32771

Mailing address

107 Mayfield Dr
Sanford, FL 32771-6823
Phone (407) 474-1610

Other practice location 1

6150 Metrowest Blvd
#103
Orlando, FL 32835-3289
Phone (407) 730-3837

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
I20250528003430 FL Practitioner - Mental Health Counselor 1355860792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling Center Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 29, 2025 Accepting new patients

Locations

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

209 San Carlos Ave
Ste 111A
Sanford, FL 32771
Phone (407) 431-7866

Networks

  • Freedom Health HMO Network

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1811394570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAYFIELD DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716823",
            "telephone_number": "407-474-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SAN CARLOS AVE STE 111A",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-431-7866",
            "fax_number": "407-386-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Metrowest Blvd",
            "address_2": "#103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353289",
            "country_code": "US",
            "telephone_number": "407-730-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TANESHA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.