Susan Shelton, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12890 Issued in FL

Practice address

7 Vine Ave NE
Fort Walton Beach, FL 32548-5070

Phone

(850) 682-1234

Fax

(850) 460-8348

NPI assigned

Oct 13, 2014

Last updated

Aug 3, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• PPCC, Inc.

  • Mental Health Counselor
  • Crestview, FL
  • NPI 1164747739
  NPD

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1346644804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HOSPITAL DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485063",
            "telephone_number": "850-833-7500",
            "fax_number": "850-833-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VINE AVE NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485070",
            "telephone_number": "850-682-1234",
            "fax_number": "850-460-8348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 E Oakdale Ave",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325393547",
            "country_code": "US",
            "telephone_number": "506-821-2348",
            "fax_number": "850-460-8348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SUSAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Sheffield, CCC SLP
• Richard A Sheldon, DC
• Taylor Shelf, MD
• Heather Lutz Shelton, ARNP
• Robert Franklin Shelton, M.D.
• Sarah Shepherd
• Sheridan Childrens Healthcare Services Inc
• Breana Shae Sherman
• Nuite D Sherman
• Tracy Sherman, PHD, CCC-SLP

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, 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 Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.