Individual provider Active NPI

Adam Tharkur, M.A. LMHC MCAP ICADC

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1821418179
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2233 Park Ave
Orange Park, FL 32073-5570
Phone
(305) 803-6029
NPI assigned
Apr 24, 2014
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 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 NU Primary

Addresses

Primary practice location

2233 Park Ave
Orange Park, FL 32073-5570

Mailing address

233 W Silverthorn LN
Ponte Vedra, FL 32081-7001
Phone (305) 803-6029

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
I20240713000253 FL Practitioner - Mental Health Counselor 8123563251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Tag Counseling LLC Mental Health CurrentSince May 27, 2024 Accepting new patients
Episcopal Counseling Center Past Accepting new patients
Episcopal Counseling Center of Central Florida, Inc. Mental Health Past Accepting new patients

Locations

2233 Park Ave
Ste 302
Orange Park, FL 32073
Phone (904) 547-0480

Organizations & group practices 3

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1821418179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W SILVERTHORN LN",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817001",
            "telephone_number": "305-803-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735570",
            "telephone_number": "305-803-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARKUR",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "M.A. LMHC MCAP ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.