Individual provider Active NPI

Sheila Derby McLean, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1205946332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8445 Issued in FL
Practice address
200 S Hoover Blvd
S-170
Tampa, FL 33609-3540
Phone
(727) 612-0844
Fax
(813) 287-1721
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH8445 FL Primary
Mental Health Counselor 101YM0800X 4658 MA

Addresses

Primary practice location

200 S Hoover Blvd
S-170
Tampa, FL 33609-3540

Mailing address

4618 Trout River Xing
Ellenton, FL 34222-7286
Phone (727) 612-0844

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
MH8445FLMDMental Health Counselor
4658MAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205946332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 TROUT RIVER XING",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342227286",
            "telephone_number": "727-612-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HOOVER BLVD",
            "address_2": "S-170",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093540",
            "telephone_number": "727-612-0844",
            "fax_number": "813-287-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBY MCLEAN",
        "first_name": "SHEILA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8445",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.