Active NPI
Tamara Nelson, M.A.
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1891240412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 14842
- Practice address
- 2111 E Michigan St
Suite 210
Orlando, FL 32806-4983 - Phone
- (407) 254-9415
- NPI assigned
- Aug 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 | MH 14842 | FL | Primary |
Addresses
Primary practice location
2111 E Michigan St
Suite 210
Orlando, FL 32806-4983
Mailing address
2111 E Michigan St
Suite 210
Orlando, FL 32806-4983
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 14842 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1891240412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 E MICHIGAN ST",
"address_2": "SUITE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 E MICHIGAN ST",
"address_2": "SUITE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064983",
"telephone_number": "407-254-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TAMARA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 14842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.