Active NPI
Sharon Forde-Marshall, LMHC
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1598041923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8271
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH8271 | FL | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.