Shan L Vincent

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25081 Issued in FL

Practice address

28 S Gordon Rd
Fort Lauderdale, FL 33301-3738

Phone

(949) 637-4091

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1275397937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S GORDON RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013738",
            "telephone_number": "949-637-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S GORDON RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013738",
            "telephone_number": "949-637-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "SHAN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annastacha Vilneus
• Shelly Vilsaint, LMT
• Benjamin Vinarski, DO
• Adee Vinat, M.S., CCC-SLP
• Vincent Pianelli, Mdpa
• Ilene M. Vinikoor, DCSW, LMFT
• Heather Robinson Violante, PSY.D.
• Vip Home Clinic, LLC
• Vip Physicians Consulting LLC
• Vip Surgeries

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.