Individual provider Active NPI

Caitlin Vijayanagar, LMHC, LMFT

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1851986954
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15696 Issued in FL
Practice address
2901 W Swann Ave
Tampa, FL 33609-4056
Phone
(813) 458-6281
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 MH15696 FL Primary

Addresses

Primary practice location

2901 W Swann Ave
Tampa, FL 33609-4056

Mailing address

4953 W Bay Way Dr
Tampa, FL 33629-4803
Phone (813) 458-6281

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
I20231130003966 FL Practitioner - Mental Health Counselor 7315395373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Solutions ServicesGroup PAC ID 1052656618, 8 clinicians

Practice addresses (Care Compare)

710 Oakfield Dr
Suite 206
Brandon, FL 33511-4954
Phone (754) 800-3261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH15696FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Solutions Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

710 Oakfield Dr
Ste 206
Brandon, FL 33511
Phone (754) 800-3261

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1851986954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 W BAY WAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294803",
            "telephone_number": "813-458-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094056",
            "telephone_number": "813-458-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYANAGAR",
        "first_name": "CAITLIN",
        "name_prefix": "Miss",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.