Shea Lee Davenport, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5875 SW 74TH Ter Apt N-37
South Miami, FL 33143-5266

Phone

(702) 556-0056

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shealee Davenport Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Children'S Home Society

  • Foster Care Agency
  • Miami, FL
  • NPI 1407175060
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1104510957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 SW 74TH TER APT N-37",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435266",
            "telephone_number": "702-556-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 SW 74TH TER APT N-37",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435266",
            "telephone_number": "702-556-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17501 SW 117th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331772272",
            "country_code": "US",
            "telephone_number": "305-254-9759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "SHEA",
        "middle_name": "LEE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEALEE",
            "last_name": "DAVENPORT",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dade Psychiatric Associates, P.a.
• Gayle Ann Dakof
• Paul E Damski, MD
• Darrel J Mase Jr MD PA
• Kianoosh Dastan, M.D.
• David Gerth MD PA
• Jennifer Davidson, OD
• Oliver Quinn Campbell Davidson, MD
• Maylin Davila Perez, DDS
• Cristina Lauda Davis, PH.D.

• Mental Health Counselor in South Miami, FL
• Providers in South Miami, 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 Jun 5, 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.