Individual provider Active NPI

Shera Sue Klotz, BA

  • Mental Health Counselor
  • Wesley Chapel, FL
National Provider Identifier
1306101555
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19383 Issued in FL
Practice address
34335 Timberland Blvd
Wesley Chapel, FL 33543-5233
Phone
(813) 501-2021
NPI assigned
Jul 12, 2012
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 MH19383 FL Primary

Addresses

Primary practice location

34335 Timberland Blvd
Wesley Chapel, FL 33543-5233

Mailing address

34335 Timberland Blvd
Wesley Chapel, FL 33543-5233
Phone (813) 501-2021

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
I20231130002441 FL Practitioner - Mental Health Counselor 0345698379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upshaw TMS LLCGroup PAC ID 3678819349, 13 clinicians

Practice addresses (Care Compare)

2306 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6435
Phone (813) 322-6776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospa TMS LLC CurrentSince Jan 1, 2024 Accepting new patients
Upshaw TMS LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1170 Nikki View Dr
Brandon, FL 33511
Phone (813) 605-1122

5147 S Lakeland Dr
Ste 1
Lakeland, FL 33813
Phone (863) 262-7881

4419 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 318-4621

6511 Gunn Hwy
Tampa, FL 33625
Phone (813) 605-1122

2306 Ashley Oaks Cir
Ste 101
Zephyrhills, FL 33544
Phone (813) 322-6776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1306101555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34335 TIMBERLAND BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435233",
            "telephone_number": "813-501-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34335 TIMBERLAND BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435233",
            "telephone_number": "813-501-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "SHERA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.