Shari Edwards Randerson, M.S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8767 Issued in FL

Practice address

10 Fairway Dr
Suite 122
Deerfield Beach, FL 33441-1812

Phone

(954) 725-9263

Fax

(954) 725-9264

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shari N Edwards Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shariranderson@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Florida Counseling & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deerfield Beach, FL
  • NPI 1265462055
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588694574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR",
            "address_2": "SUITE 122",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411812",
            "telephone_number": "954-725-9263",
            "fax_number": "954-725-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR",
            "address_2": "SUITE 122",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411812",
            "telephone_number": "954-725-9263",
            "fax_number": "954-725-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDERSON",
        "first_name": "SHARI",
        "middle_name": "EDWARDS",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "EDWARDS",
            "middle_name": "N",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 Jul 8, 2007; 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.