Individual provider Active NPI

Shakera Garrard

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1518619808
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2019023138 Issued in MO
Practice address
5602 NW 86TH Ter Apt C81
Kansas City, MO 64154-2457
Phone
(660) 525-7746
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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 2019023138 MO Primary

Addresses

Primary practice location

5602 NW 86TH Ter Apt C81
Kansas City, MO 64154-2457

Mailing address

5602 NW 86TH Ter Apt C81
Kansas City, MO 64154-2457
Phone (660) 525-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, GA, TX, DE5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20240207000482 MO Practitioner - Mental Health Counselor 1355784364 Reassigns benefits to 1 organization
I20260521001922 KS Practitioner - Mental Health Counselor 1355784364 Reassigns benefits to 1 organization
I20260529003051 GA Practitioner - Mental Health Counselor 1355784364 Reassigns benefits to 1 organization
I20260529003761 TX Practitioner - Mental Health Counselor 1355784364 Reassigns benefits to 1 organization
I20260601000630 DE Practitioner - Mental Health Counselor 1355784364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Jan 31, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6907 Page Ave
Saint Louis, MO 63133
Phone (317) 480-0421

1747 Olentangy River Rd
Columbus, OH 43212
Phone (614) 233-1559

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1518619808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 NW 86TH TER APT C81",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542457",
            "telephone_number": "660-525-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 NW 86TH TER APT C81",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542457",
            "telephone_number": "660-525-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRARD",
        "first_name": "SHAKERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2019023138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.