Individual provider Active NPI

Sabrina Harris, RMHCI

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1568907384
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH12866 Issued in FL
Practice address
1639 Forum PL
West Palm Beach, FL 33401-2330
Phone
(561) 712-8821
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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 IMH12866 FL Primary

Addresses

Primary practice location

1639 Forum PL
West Palm Beach, FL 33401-2330

Mailing address

3176 Turtle CV
West Palm Beach, FL 33411-6468
Phone (561) 352-5418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240415002224 FL Practitioner - Mental Health Counselor 8527407253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - Florida IncGroup PAC ID 5496173577, 85 clinicians
Shardae Tripp Counseling LLCGroup PAC ID 5496101784, 12 clinicians

Practice addresses (Care Compare)

1601 Belvedere Rd
Suite S 204
West Palm Beach, FL 33406-1541
Phone (561) 536-5293

540 NW University Blvd
Suite 204
Port St Lucie, FL 34986-2281
Phone (772) 418-7797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH12866FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shardae Tripp Counseling LLC CurrentSince Mar 5, 2024 Accepting new patients

Locations

540 NW University Blvd
Ste 204
Port St Lucie, FL 34986
Phone (772) 418-7797

Organizations & group practices 2

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1568907384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 TURTLE CV",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116468",
            "telephone_number": "561-352-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SABRINA",
        "name_prefix": "Mrs.",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH12866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.