Tiny Rebellion Llc - Mental Health Clinic in Pinellas Park, FL

Tiny Rebellion Llc is a mental health clinic (Counselor - Mental Health) in Pinellas Park, Florida. The current practice location for Tiny Rebellion Llc is 7205 64th Way N, Pinellas Park, Florida. For appointments, you can reach them via phone at (970) 784-0255. The mailing address for Tiny Rebellion Llc is 7205 64th Way N, Pinellas Park, Florida and phone number is () -.

Tiny Rebellion Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1619893377. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (970) 784-0255.

Contact Information

Tiny Rebellion Llc
7205 64th Way N
Pinellas Park
FL 33781-4027
(970) 784-0255
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameTiny Rebellion Llc
SpecialityCounselor - Mental Health
Location7205 64th Way N, Pinellas Park, Florida
Authorized Official Name and PositionMike Johnson (MANAGER)
Authorized Official Contact9707840255
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiny Rebellion Llc
7205 64th Way N
Pinellas Park
FL 33781-4027

Ph: () -
Tiny Rebellion Llc
7205 64th Way N
Pinellas Park
FL 33781-4027

Ph: (970) 784-0255

NPI Details:

NPI Number1619893377
Provider Enumeration Date06/26/2026
Last Update Date06/26/2026
Certification Date06/26/2026

Medical Identifiers

Medical identifiers for Tiny Rebellion Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619893377NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.