Active NPI
Shavonne Yolanda Rich, LMHC
- Mental Health Counselor
- Clearwater, FL
National Provider Identifier
1164919189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 13575 58TH St N
Clearwater, FL 33760-3740 - Phone
- (727) 741-7345
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | FL | Primary |
Addresses
Primary practice location
13575 58TH St N
Clearwater, FL 33760-3740
Mailing address
3175 Grand Ave Apt 104
Pinellas Park, FL 33782-6137
Phone (813) 943-5271
Other practice location 1
7340 Little Rd Ste 102
New Port Richey, FL 34654-5532
Phone (727) 339-3038
Other practice location 2
3840 5th Ave N
Saint Petersburg, FL 33713-7521
Phone (727) 367-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Community Counseling | Mental Health | Past | Accepting new patients |
| Caring Community Counseling LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Saint Petersburg, FL
- NPI 1790191781
-
- Community/Behavioral Health Agency
- Saint Petersburg, FL
- NPI 1477988343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1164919189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 GRAND AVE APT 104",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337826137",
"telephone_number": "813-943-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13575 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603740",
"telephone_number": "727-741-7345"
}
],
"practiceLocations": [
{
"address_1": "7340 Little Rd Ste 102",
"address_purpose": "LOCATION",
"city": "New Port Richey",
"state": "FL",
"postal_code": "346545532",
"country_code": "US",
"telephone_number": "727-339-3038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3840 5th Ave N",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337137521",
"country_code": "US",
"telephone_number": "727-367-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICH",
"first_name": "SHAVONNE",
"middle_name": "YOLANDA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.