Individual provider Active NPI

Tabitha Ann Delay-Grossnickle, LMFT

  • Counselor
  • Sanford, FL
National Provider Identifier
1942487384
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
919 E 2ND St
Sanford, FL 32771-2101
Phone
(407) 323-2036
NPI assigned
Jan 29, 2008
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

919 E 2ND St
Sanford, FL 32771-2101

Mailing address

237 Fernwood Blvd
Fern Park, FL 32730-2116
Phone (407) 831-2411

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
I20231116001899 FL Practitioner - Marriage and Family Therapist 0941657647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Health Partners, Inc.Group PAC ID 8325936446, 23 clinicians

Practice addresses (Care Compare)

1800 Mercy Dr
Orlando, FL 32808-5646
Phone (407) 875-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Partners, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

237 Fernwood Blvd
Fern Park, FL 32730
Phone (407) 323-2036

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

919 E 2nd St
Sanford, FL 32771
Phone (407) 323-2036

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, 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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1942487384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 FERNWOOD BLVD",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302116",
            "telephone_number": "407-831-2411",
            "fax_number": "407-831-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E 2ND ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712101",
            "telephone_number": "407-323-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAY-GROSSNICKLE",
        "first_name": "TABITHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.