Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pavel Tulisov

Individual provider Counselor · NPI 1548818354

Pavel Tulisov is a Mental Health Counselor in Pompano Beach, Florida. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

817 N Dixie Hwy
Pompano Beach, FL 33060-5621
Phone: (954) 785-8285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence MH26635 (FL)

Record details

NPI number1548818354
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pompano Beach