Individual provider Active NPI

Tatiana Litviakova, LMHCI

  • Mental Health Counselor
  • Deland, FL
National Provider Identifier
1992523781
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
26375 Issued in FL
Practice address
201 W Plymouth Ave
Deland, FL 32720-2753
Phone
(386) 873-2963
Fax
(386) 873-2963
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 26375 FL Primary

Addresses

Primary practice location

201 W Plymouth Ave
Deland, FL 32720-2753

Mailing address

650 West Ave Apt 2008
Miami Beach, FL 33139-6367
Phone (305) 934-1231

Other practice location 1

3993 W State Road 46
Sanford, FL 32771-9726
Phone (407) 732-4272

Other practice location 2

650 West Ave Apt 2008
Miami Beach, FL 33139-6367
Phone (305) 934-1231

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

LicenseStateTypeSpecialty
26375FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saafe Health Services LLC CurrentSince Nov 24, 2024 Accepting new patients
Saafe Behavioral Services LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

3993 W State Road 46
Sanford, FL 32771
Phone (407) 732-4272

Organizations & group practices 2

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1992523781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WEST AVE APT 2008",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396367",
            "telephone_number": "305-934-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3993 W State Road 46",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327719726",
            "country_code": "US",
            "telephone_number": "407-732-4272",
            "fax_number": "407-732-4578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 West Ave Apt 2008",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331396367",
            "country_code": "US",
            "telephone_number": "305-934-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITVIAKOVA",
        "first_name": "TATIANA",
        "credential": "LMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "26375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.