Individual provider Active NPI

Sheniqua Dones-Wallace, LMHC

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1063859510
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13004 Issued in FL
Practice address
2500 Hollywood Blvd Ste 104
Hollywood, FL 33020-6615
Phone
(786) 353-4622
Fax
(954) 944-5937
NPI assigned
May 23, 2013
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH10688 FL
Mental Health Counselor 101YM0800X MH13004 FL Primary

Addresses

Primary practice location

2500 Hollywood Blvd Ste 104
Hollywood, FL 33020-6615

Mailing address

1030 NW 178TH Ter
Miami Gardens, FL 33169-4173
Phone (786) 213-5848

Other names 1

  • Sheniqua Dones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH10688FLMDMental Health Counselor
MH13004FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Just Be Therapeutic Services Mental Health Current Accepting new patients

Locations

2500 Hollywood Blvd
Ste 104
Hollywood, FL 33020
Phone (305) 903-2505

2500 Hollywood Blvd
Ste 410
Hollywood, FL 33020
Phone (754) 260-1367

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1063859510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NW 178TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694173",
            "telephone_number": "786-213-5848",
            "fax_number": "954-944-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOLLYWOOD BLVD STE 104",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206615",
            "telephone_number": "786-353-4622",
            "fax_number": "954-944-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONES-WALLACE",
        "first_name": "SHENIQUA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH10688",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENIQUA",
            "last_name": "DONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.