J&J Shine Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH12905 Issued in FL

Legal business name

J&J SHINE CORP

Practice address

8051 N. Tamiami Trail
Suite E2, Box 37
Sarasota, FL 34243

Phone

(941) 822-8174

Fax

(941) 822-8174

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Janell Stallworth, LMHCNPI 1063803492

Title

President

Phone

(941) 822-8174

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janell Stallworth, LMHC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1063803492
  NPD (past) Authorized official

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386004745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 N. TAMIAMI TRAIL",
            "address_2": "SUITE E2, BOX 37",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34243",
            "telephone_number": "941-822-8174",
            "fax_number": "941-822-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 N. TAMIAMI TRAIL",
            "address_2": "SUITE E2, BOX 37",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34243",
            "telephone_number": "941-822-8174",
            "fax_number": "941-822-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J SHINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-822-8174",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH12905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J H Floyd Sunshine Manor Inc
• J Michael Harris MD PA
• J Morgan Odonoghue P a
• J. Kent Bartruff M.D.P.a.
• J.E.S. Home Care Services LLC
• J&M Support Coordination Services, Inc.
• Amy Elizabeth Jabanoski, D.C.
• Angele D. Jabre, M.A, CCC-SLP
• Arin Jackson I, ARNP
• Bailey Anne Jackson, MSW

• Community/Behavioral Health Agency in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.