Individual provider Active NPI

Shatiria M. Johnson, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1508345034
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20291 Issued in FL
Practice address
2125 Biscayne Blvd # 275
Miami, FL 33137-5031
Phone
(786) 910-3212
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 MH20291 FL Primary

Addresses

Primary practice location

2125 Biscayne Blvd # 275
Miami, FL 33137-5031

Mailing address

2125 Biscayne Blvd # 275
Miami, FL 33137-5031
Phone (786) 910-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240205000653 FL Practitioner - Mental Health Counselor 3870936149 Reassigns benefits to 2 organizations
I20260520000063 GA Practitioner - Mental Health Counselor 3870936149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20291FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Restorative Practices, LLC CurrentSince Apr 9, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 22, 2024 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2940 NE 207th St
Aventura, FL 33180
Phone (419) 247-2800

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

435 NE 34th St
Miami, FL 33137
Phone (305) 573-4337

2125 Biscayne Blvd
#275
Miami, FL 33137
Phone (786) 910-3212

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1508345034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BISCAYNE BLVD # 275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375031",
            "telephone_number": "786-910-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BISCAYNE BLVD # 275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375031",
            "telephone_number": "786-910-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHATIRIA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.