Active NPI
Tamyra Villines, LMHC
- Mental Health Counselor
- Oakland Park, FL
National Provider Identifier
1831723717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17605
- Practice address
- 5203 N Dixie Hwy Apt A2
Oakland Park, FL 33334-4047 - Phone
- (954) 470-3902
- NPI assigned
- Feb 28, 2020
- 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 | MH17605 | FL | Primary |
Addresses
Primary practice location
5203 N Dixie Hwy Apt A2
Oakland Park, FL 33334-4047
Mailing address
5203 N Dixie Hwy Apt A2
Oakland Park, FL 33334-4047
Phone (954) 470-3902
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 |
|---|---|---|---|
| MH17605 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachside Detox LLC | Past | Accepting new patients |
Interoperability endpoints
- fbh.tamyravillines@141363.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- West Palm Beach, FL
- NPI 1598272098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1831723717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5203 N DIXIE HWY APT A2",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344047",
"telephone_number": "954-470-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5203 N DIXIE HWY APT A2",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344047",
"telephone_number": "954-470-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLINES",
"first_name": "TAMYRA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.