Individual provider Active NPI

Sharalyn Rae Vester, LMHC

  • Mental Health Counselor
  • Polk City, FL
National Provider Identifier
1285216465
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20224 Issued in FL
Practice address
10180 Slaughterhouse Rd
Polk City, FL 33868-9726
Phone
(863) 258-5569
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 MH20224 FL Primary

Addresses

Primary practice location

10180 Slaughterhouse Rd
Polk City, FL 33868-9726

Mailing address

PO Box 57
Polk City, FL 33868-0057
Phone (863) 258-5569

Other names 1

  • Sharalyn Rae Byrd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826002987 FL Practitioner - Mental Health Counselor 2567901242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Florida Inc Mental Health CurrentSince Aug 5, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Agape Counseling Services, Inc CurrentSince Mar 24, 2024 Accepting new patients

Locations

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • Direct secure messaging: sharalynvester@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1285216465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338680057",
            "telephone_number": "863-258-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SLAUGHTERHOUSE RD",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338689726",
            "telephone_number": "863-258-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESTER",
        "first_name": "SHARALYN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARALYN",
            "last_name": "BYRD",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Polk City, FL

Sources for this page

Verify at the official NPI Registry.