Individual provider Active NPI

Shawna Marie Rohrer, RMHCI

  • Mental Health Counselor
  • Ponte Vedra Beach, FL
National Provider Identifier
1639932783
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH23972 Issued in FL
Practice address
5150 Palm Valley Rd Ste 102
Ponte Vedra Beach, FL 32082-4630
Phone
(904) 746-7757
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 IMH23972 FL Primary

Addresses

Primary practice location

5150 Palm Valley Rd Ste 102
Ponte Vedra Beach, FL 32082-4630

Mailing address

804 3Rd St Ste D
Neptune Beach, FL 32266-5062
Phone (904) 746-7757

Other practice location 1

804 3rd St Ste D
Neptune Beach, FL 32266-5062
Phone (904) 746-7757

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

State licenses

LicenseStateTypeSpecialty
IMH23972FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1639932783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 3RD ST STE D",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665062",
            "telephone_number": "904-746-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 PALM VALLEY RD STE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824630",
            "telephone_number": "904-746-7757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 3rd St Ste D",
            "address_purpose": "LOCATION",
            "city": "Neptune Beach",
            "state": "FL",
            "postal_code": "322665062",
            "country_code": "US",
            "telephone_number": "904-746-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHRER",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.