Susan a. Shirley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8882 Issued in FL

Legal business name

SUSAN A. SHIRLEY

Doing business as

Susan A. Shirley Counseling & Consulting Inc.

Practice address

2440 SE Federal Hwy Ste 103
Stuart, FL 34994-4531

Phone

(337) 356-5486

NPI assigned

Apr 4, 2018

Last updated

Apr 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan A ShirleyNPI 1558537985

Title

LMHC

Phone

(337) 356-5486

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan A. Shirley Counseling & Consulting Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Ann Shirley, LMHC,LPC,CRC,CAP,NCC

  • Mental Health Counselor
  • Stuart, FL
  • NPI 1558537985
  NPD (past) Authorized official

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1336645779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11778 SW BENNINTON CIRCLE",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "337-356-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SE FEDERAL HWY STE 103",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944531",
            "telephone_number": "337-356-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 NW Saint Lucie West Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861758",
            "country_code": "US",
            "telephone_number": "337-356-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSAN A. SHIRLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "337-356-5486"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "8882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60071Z761",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan A. Shirley Counseling & Consulting Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Susan A. Shirley Counseling & Consulting Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Stuart, FL
• Providers in Stuart, 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 Apr 4, 2018; 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.