Individual provider Active NPI

Joshua Allan Sheppard, RMHCI

  • Counselor
  • Palm Beach Gardens, FL
National Provider Identifier
1356140974
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMH25284 Issued in FL
Practice address
4901 Bonsai Cir Apt 209
Palm Beach Gardens, FL 33418-6766
Phone
(561) 401-1058
NPI assigned
Mar 8, 2025
Last updated
Mar 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMH25284 FL Primary

Addresses

Primary practice location

4901 Bonsai Cir Apt 209
Palm Beach Gardens, FL 33418-6766

Mailing address

4901 Bonsai Cir Apt 209
Palm Beach Gardens, FL 33418-6766
Phone (561) 401-1058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH25284FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1356140974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 BONSAI CIR APT 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186766",
            "telephone_number": "561-401-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 BONSAI CIR APT 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186766",
            "telephone_number": "561-401-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JOSHUA",
        "middle_name": "ALLAN",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH25284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.