Individual provider Active NPI

Sharon Forde-Marshall, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1598041923
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8271 Issued in FL
Practice address
401 NE 4TH St
Fort Lauderdale, FL 33301-1151
Phone
(954) 453-6476
Fax
(954) 764-6458
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH8271 FL
Mental Health Counselor 101YM0800X MH8271 FL Primary

Addresses

Primary practice location

401 NE 4TH St
Fort Lauderdale, FL 33301-1151

Mailing address

401 NE 4TH St
Fort Lauderdale, FL 33301-1151
Phone (954) 454-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8271FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1598041923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE 4TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011151",
            "telephone_number": "954-454-6400",
            "fax_number": "954-764-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE 4TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011151",
            "telephone_number": "954-453-6476",
            "fax_number": "954-764-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE-MARSHALL",
        "first_name": "SHARON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH8271",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.