Individual provider Active NPI

Shari Lynn Green, LMHC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1407155799
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4481 Issued in FL
Practice address
3501 W Vine St
Suite 515
Kissimmee, FL 34741-4643
Phone
(321) 250-1054
Fax
(321) 256-0307
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4481 FL Primary

Addresses

Primary practice location

3501 W Vine St
Suite 515
Kissimmee, FL 34741-4643

Mailing address

4930 Parkview Dr
Saint Cloud, FL 34771-7972
Phone (407) 922-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212001989 FL Practitioner - Mental Health Counselor 0446693055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Next Step Counseling Center, LLCGroup PAC ID 9537502141, 3 clinicians

Practice addresses (Care Compare)

2029 Hickory Tree Rd
Saint Cloud, FL 34772-8906
Phone (321) 805-4850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Next Step Counseling Center, LLC Mental Health CurrentSince Jan 8, 2024 Accepting new patients
Palm Tree Interventional Pain Management, PLLC PastSince Jan 8, 2024 Accepting new patients
Mid Florida Counseling, LLC Mental Health Past Accepting new patients

Locations

2029 Hickory Tree Rd
Saint Cloud, FL 34772
Phone (321) 805-4850

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1407155799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 PARKVIEW DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717972",
            "telephone_number": "407-922-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST",
            "address_2": "SUITE 515",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414643",
            "telephone_number": "321-250-1054",
            "fax_number": "321-256-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.