Shawanda Ford, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5600 W Brown Deer Rd Ste 106
Brown Deer, WI 53223-2346

Phone

(414) 446-8154

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• American Relaxation Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brown Deer, WI
  • NPI 1912566464
  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1326513599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W BROWN DEER RD STE 106",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232346",
            "telephone_number": "414-446-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W BROWN DEER RD STE 106",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232346",
            "telephone_number": "414-446-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SHAWANDA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "americanrelaxationcounseling@gmail.com",
            "affiliation": "N",
            "address_1": "5600 W Brown Deer Rd Ste 106",
            "city": "Brown Deer",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532232346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Feinman, D.D.S.
• Michael P Fetherston, MD
• Kristie J. Fleurimond, MS, LPC
• Kathryn Ford, MS
• Raphael Ford
• Mackenzie Francis
• Lori Ann Fuller, RN
• Sara Jean Gainey
• Laurence Ganschow, CADC III
• Sabrina Garner

• Mental Health Counselor in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.