Individual provider Active NPI

Tia Loray March, LCSW

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1942340401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW3431 Issued in FL
Practice address
5776 Saint Augustine Rd
Jacksonville, FL 32207-8030
Phone
(904) 448-4700
Fax
(904) 448-4717
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW3431 FL Primary

Addresses

Primary practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8030

Mailing address

2312 Honolulu CT
Jacksonville, FL 32246-9547
Phone (904) 448-4700

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
I20181217001380 FL Practitioner - Clinical Social Worker 1557606761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandarin Counseling IncGroup PAC ID 0143397281, 5 clinicians

Practice addresses (Care Compare)

12058 San Jose Blvd
Suite 703
Jacksonville, FL 32223-8668
Phone (904) 260-0454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW3431FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mandarin Counseling Inc CurrentSince Sep 22, 2018 Accepting new patients

Locations

12058 San Jose Blvd
Ste 703
Jacksonville, FL 32223
Phone (904) 260-0454

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942340401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 HONOLULU CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469547",
            "telephone_number": "904-448-4700",
            "fax_number": "904-448-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078030",
            "telephone_number": "904-448-4700",
            "fax_number": "904-448-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCH",
        "first_name": "TIA",
        "middle_name": "LORAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW3431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.