Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093107575 Individual Practitioner Female Practitioner

Tanisha Douglas

Counselor • Miami, FL

Professional Overview & Biography Verified Profile Summary

Tanisha Douglas is a registered healthcare professional specializing in Counselor in Miami, FL. Practice services are available at 22790 SW 112TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22790 Sw 112th Ave

Miami, FL 331707602

Telephone 3052352616
Fax 3052356178
Associated Practice Facility / Clinic
🏢 Agape Network, Inc. Facility NPI 1326191156

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
234 Specialists

Practicing in Miami, FL (3441 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tenay Rodriguez-Sanchez

Case Manager/Care Coordinator

NPI 1003205501
Maria Hernandez , MS

Counselor - Mental Health

NPI 1003213703

Master of Science

Diana Pinto

Case Manager/Care Coordinator

NPI 1003224635
Claudia Perez

Case Manager/Care Coordinator

NPI 1013872472
NPI 1023407954

Registered Nurse

Fhara Guadalupe , MS

Counselor - Mental Health

NPI 1023476025

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2015

Registered at 22790 SW 112TH AVE, MIAMI, FL 331707602 (Tel: 3052352616)

📍
Updated Business Mailing Address February 20, 2015

Registered at 22790 SW 112TH AVE, MIAMI, FL 331707602 (Tel: 3052352616)

👤
Provider Name / Credentials Updated February 20, 2015

Recorded as TANISHA DOUGLAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2015

Counselor

🟢
Initial NPI Registration & Enumeration February 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093107575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2015
Last Update: February 20, 2015
Sole Proprietor: No

Mailing Address

22790 Sw 112th Ave

Miami, FL 331707602

Phone: 3052352616

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.