Individual provider Active NPI

Shirley K Schulte

  • Professional Counselor
  • North Palm Beach, FL
National Provider Identifier
1043090004
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH16119 Issued in FL
Practice address
517 Ebbtide Dr
North Palm Beach, FL 33408-4818
Phone
(772) 486-0121
NPI assigned
Oct 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X MH16119 FL Primary

Addresses

Primary practice location

517 Ebbtide Dr
North Palm Beach, FL 33408-4818

Mailing address

517 Ebbtide Dr
North Palm Beach, FL 33408-4818
Phone (772) 486-0121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240202003360 FL Practitioner - Mental Health Counselor 8921441239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Brain Spa LLCGroup PAC ID 1557616182, 11 clinicians

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 3102
Jupiter, FL 33458-7189
Phone (561) 406-6561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Counseling Professionals, LLC CurrentSince Oct 8, 2023 Accepting new patients
The Brain Spa, LLC CurrentSince Jan 1, 2024 Accepting new patients
Novaluna Mental Health LLC CurrentSince Apr 14, 2025 Accepting new patients
Gastroenterology Specialist Inc PastSince Jan 1, 2024 Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 3102
Jupiter, FL 33458
Phone (561) 406-6561

2000 Palm Beach Lakes Blvd
Ste 303
West Palm Beach, FL 33409
Phone (561) 303-0811

Organizations & group practices 4

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1043090004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 EBBTIDE DR",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084818",
            "telephone_number": "772-486-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 EBBTIDE DR",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084818",
            "telephone_number": "772-486-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "SHIRLEY",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH16119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.