NPIMap

Organization Active NPI

Shanlis Counseling & Assessment, Inc

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1184052839
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5560 Issued in FL
Legal business name
SHANLIS COUNSELING & ASSESSMENT, INC
Practice address
430 SW California Ave
Stuart, FL 34994-2918
Phone
(772) 223-9988
Fax
(772) 223-9593
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Ms. Athena Penelope Scotes, M.A.
Title
Assistant Director of Operations
Phone
(772) 223-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH5560 FL Primary

Addresses

Primary practice location

430 SW California Ave
Stuart, FL 34994-2918

Mailing address

430 SW California Ave
Stuart, FL 34994-2918
Phone (772) 223-9988

National Provider Directory

National Provider Directory
Tax ID family
Shanlis Counseling Assessment Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1184052839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SW CALIFORNIA AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942918",
            "telephone_number": "772-223-9988",
            "fax_number": "772-223-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SW CALIFORNIA AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942918",
            "telephone_number": "772-223-9988",
            "fax_number": "772-223-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANLIS COUNSELING & ASSESSMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "SCOTES",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_middle_name": "PENELOPE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "772-223-9988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.