Individual provider Active NPI

Shani Kameka Cephas, BA, CWCM

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1538873138
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1581 W 10TH St
Jacksonville, FL 32209-5462
Phone
(804) 665-4488
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 Primary

Addresses

Primary practice location

1581 W 10TH St
Jacksonville, FL 32209-5462

Mailing address

1581 W 10TH St
Jacksonville, FL 32209-5462
Phone (804) 665-4488

Other practice location 1

5300 San Juan Ave
Jacksonville, FL 32210-3142
Phone (904) 738-8579

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL skcephas@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1538873138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 W 10TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322095462",
            "telephone_number": "804-665-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 W 10TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322095462",
            "telephone_number": "804-665-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 San Juan Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322103142",
            "country_code": "US",
            "telephone_number": "904-738-8579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEPHAS",
        "first_name": "SHANI",
        "middle_name": "KAMEKA",
        "credential": "BA, CWCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "skcephas@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5300 San Juan Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322103142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.