Karly Stuart Shreders, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10130 Issued in FL

Practice address

5251 Emerson St
Jacksonville, FL 32207-4932

Phone

(904) 399-0324

Fax

(904) 399-0420

NPI assigned

Dec 16, 2009

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shreders & Associates, Inc.

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1801263108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1316276686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6998 ROUNDLEAF DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585505",
            "telephone_number": "904-200-0604",
            "fax_number": "904-399-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 EMERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074932",
            "telephone_number": "904-399-0324",
            "fax_number": "904-399-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREDERS",
        "first_name": "KARLY",
        "middle_name": "STUART",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Shoults
• Bethany Shovlin, NP, RN, RD
• Ann Marie Shrader
• Cheyenne Shrader
• Shreders & Associates, Inc.
• Anil Prasad Shrestha, MD
• Ashik Shrestha, D.O.
• Rabi Shrestha, MD
• Shumneva Shrestha, MD
• Timothy Marshall Shreve, P.T.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.