Shaima Mamdouh Elsedoudi, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13805 Issued in FL

Practice address

3848 Flatiron Loop Unit 102
Wesley Chapel, FL 33544-7825

Phone

(813) 648-7220

NPI assigned

Sep 28, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Piece of Mind- Psychotherapy, LLC

  • Mental Health Counselor
  • Wesley Chapel, FL
  • NPI 1235861238
  NPD Authorized official
• Northside Behavioral Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
  • NPI 1669498002
  NPD

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1467703538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 MEMORIAL HWY",
            "address_2": "BUILDING A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154509",
            "telephone_number": "813-891-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 FLATIRON LOOP UNIT 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447825",
            "telephone_number": "813-648-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 N Lois Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092232",
            "country_code": "US",
            "telephone_number": "813-648-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSEDOUDI",
        "first_name": "SHAIMA",
        "middle_name": "MAMDOUH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "871387746",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Lindy Ellison-Cherny, D.C.
• Kevin Ellorin, DMD
• Amr Ibrahim Elmaghraby, MD
• Mohammed Elomari, OD
• Elsaman Medical Transportation
• Daniella Elzie, LCSW
• Oliver Alexander Emberger
• Emerald Coast Glambulance LLC
• Emerald Dental Care
• Cynthia Marie Emerle

• Mental Health Counselor in Wesley Chapel, FL
• Providers in Wesley Chapel, 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 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.