Individual provider Active NPI

Sheri Leticia Wade, MS, MCAP

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1255938254
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH17895 Issued in FL
Practice address
4676 N Congress Ave Apt D105
West Palm Beach, FL 33407-3341
Phone
(561) 324-6349
NPI assigned
Oct 3, 2020
Last updated
Oct 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH17895 FL Primary

Addresses

Primary practice location

4676 N Congress Ave Apt D105
West Palm Beach, FL 33407-3341

Mailing address

4676 N Congress Ave Apt D105
West Palm Beach, FL 33407-3341
Phone (561) 324-6349

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@thestemiitheflower.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH17895FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1255938254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 N CONGRESS AVE APT D105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073341",
            "telephone_number": "561-324-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 N CONGRESS AVE APT D105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073341",
            "telephone_number": "561-324-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SHERI",
        "middle_name": "LETICIA",
        "credential": "MS, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH17895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thestemiitheflower.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4676 N Congress Ave Apt D105",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334073341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.