Shelly K McCormick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 11632 Issued in FL

Practice address

6497 Parkland Dr Ste a
Sarasota, FL 34243-4097

Phone

(941) 799-1976

NPI assigned

Apr 1, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Beginnings Counseling

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1235913278
  NPD Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1144563933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 57TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035332",
            "telephone_number": "941-799-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6497 PARKLAND DR STE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434097",
            "telephone_number": "941-799-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SHELLY",
        "middle_name": "K",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2023-02-14",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11632",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James McClure, M.D., PH.D.
• William Edward McComb, DC
• Amanda Shanks McConnell, LCSW
• Amy Catherine McConnell, D.C.
• Kevin McCormack, M.D., PHD
• Susan Samantha McCormick, A.R.N.P., C.N.M.
• Lauire McCoy, LMT
• Kyle McCreight
• Ana Maria McCue, PTA
• Sean Michael McCue, PT

• Mental Health Counselor in Sarasota, FL
• Providers in Sarasota, 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 Feb 14, 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.