Individual provider Active NPI

Evelyn Diaz, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1841177763
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26343 Issued in FL
Practice address
16502 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone
(727) 732-4305
NPI assigned
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 MH26343 FL Primary

Addresses

Primary practice location

16502 N Dale Mabry Hwy
Tampa, FL 33618-1325

Mailing address

5940 Cherry Oak Dr
Valrico, FL 33596-9227
Phone (813) 481-9163

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
I20251031003181 FL Practitioner - Mental Health Counselor 0244729945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Tampa Bay Area CounselingGroup PAC ID 5193176006, 14 clinicians

Practice addresses (Care Compare)

16502 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone (727) 732-4305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH26343FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Area Counseling Mental Health CurrentSince Aug 18, 2025 Accepting new patients
Mindmetrics Mental Health PastSince May 19, 2024 Accepting new patients

Locations

3607 Alt 19
Palm Harbor, FL 34683
Phone (727) 732-4305

16502 N Dale Mabry Hwy
Tampa, FL 33618
Phone (727) 732-4305

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1841177763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 CHERRY OAK DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335969227",
            "telephone_number": "813-481-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16502 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "727-732-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "EVELYN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.