Active NPI
Tiffanie Monique Trudeau, LPC, LMHC
- Mental Health Counselor
- Rockledge, FL
National Provider Identifier
1982919544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13469
- Practice address
- 7145 Turner Rd Ste 102
Rockledge, FL 32955-5723 - Phone
- (321) 720-3444
- NPI assigned
- Aug 8, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC14185 | DC | |
| Professional Counselor | 101YP2500X | 0701006175 | VA | |
| Mental Health Counselor | 101YM0800X | MH13469 | FL | Primary |
Addresses
Primary practice location
7145 Turner Rd Ste 102
Rockledge, FL 32955-5723
Mailing address
7145 Turner Rd Ste 102
Rockledge, FL 32955-5723
Phone (321) 720-3444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14185 | DC | MD | Mental Health Counselor |
| MH13469 | FL | MD | Mental Health Counselor |
| 0701006175 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connected Thriving Counseling and Wellness | Mental Health | Current | Accepting new patients |
Locations
645 Classic Ct
Ste 104
Viera, FL 32940
Phone (321) 323-9069
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.
-
- Mental Health Counselor
- Rockledge, FL
- NPI 1740739226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1982919544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 TURNER RD STE 102",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329555723",
"telephone_number": "321-720-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 TURNER RD STE 102",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329555723",
"telephone_number": "321-720-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEAU",
"first_name": "TIFFANIE",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "LPC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-08",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC14185",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006175",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH13469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.