Katharine Shade, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11966 Issued in FL

Practice address

1407 Frederick Dr
Tallahassee, FL 32308-5142

Phone

(727) 278-3344

NPI assigned

May 19, 2014

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1407267909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 FREDERICK DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 FREDERICK DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085142",
            "telephone_number": "727-278-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "KATHARINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seymour R. Rosen, M.D.P.a.
• Dikemba Seymour
• SG Mental Health Counseling
• Stephen L. Sgan, M.D.
• Christy L Shackelford
• Paul Shadowen
• Madeliene Sophia Shaffer
• Fnu Shagun, M.D.
• Heemanshi D Shah, M.D.
• Saanchi Vijay Shah

• Mental Health Counselor in Tallahassee, FL
• Providers in Tallahassee, 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 May 19, 2014; 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.