Latonya Denise Shaw, M.S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22407 Issued in FL

Practice address

405 Seafoam Cir
Fort Pierce, FL 34945-1203

Phone

(561) 294-5888

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Latonya Denise Lewis Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality BHS Florida LLCGroup PAC ID 4082030721, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Quality BHS Florida, LLC

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1689297541
  Medicare reassignment Care Compare group NPD
• Shardae Tripp Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Saint Lucie, FL
  • NPI 1801583646
  Medicare reassignment NPD
• Telos Health Systems FL LLC

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1801624242

  Mental Health

  Medicare reassignment NPD
• Rhodium Care Group Florida PA

  • Clinical Psychologist
  • Lakewood, NJ
  • NPI 1174235972

  FL

  Medicare reassignment NPD
• Moving Into New Dimensions Therapeutic Services LLLC

  • Community/Behavioral Health Agency
  • Port St Lucie, FL
  • NPI 1710870084
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1033419361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881147",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349881147",
            "telephone_number": "561-294-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SEAFOAM CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349451203",
            "telephone_number": "561-294-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LATONYA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATONYA",
            "last_name": "LEWIS",
            "middle_name": "DENISE",
            "prefix": "MS.",
            "credential": "M.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharing Facility
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• Bryanna Sharot
• Lindsey Shatters
• David W Shaw, DC
• Dione Lynn Shekon, LCSW
• Shelita Dunlap LLC
• Roxanne Au-Jean Shepherd, DC
• Mallory Ann Shepkosky, APRN, FNP-C
• Sheridan Radiology Services of Central Florida, Inc.

• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.