Active NPI
Shontell Williams
- Mental Health Counselor
- Miramar, FL
National Provider Identifier
1275225203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH25569
- Practice address
- 8910 Miramar Pkwy
Ste 305B Pmb1186
Miramar, FL 33025 - Phone
- (754) 368-4073
- NPI assigned
- May 26, 2023
- Last updated
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Mental Health Counselor | 101YM0800X | MH25569 | FL | Primary |
Addresses
Primary practice location
8910 Miramar Pkwy
Ste 305B Pmb1186
Miramar, FL 33025
Mailing address
8910 Miramar Pkwy
Ste 305B Pmb1186
Miramar, FL 33025
Phone (754) 368-4073
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH25569 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tellycares, LLC | Current | Accepting new patients | |
| G.R.O.W.T.H. Counseling and Therapy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1811775364
-
- Community/Behavioral Health Agency
- North Miami Beach, FL
- NPI 1669094686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1275225203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 MIRAMAR PKWY",
"address_2": "STE 305B PMB1186",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33025",
"telephone_number": "754-368-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 MIRAMAR PKWY",
"address_2": "STE 305B PMB1186",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33025",
"telephone_number": "754-368-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHONTELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH25569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.