Organization Active NPI

Shedding Light Counseling 'LLC'

  • Mental Health Counselor
  • Brooksville, FL
National Provider Identifier
1699253666
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14870 Issued in FL
Legal business name
SHEDDING LIGHT COUNSELING 'LLC'
Practice address
24059 Cortez Blvd
Brooksville, FL 34601
Phone
(352) 631-7717
NPI assigned
Aug 1, 2018
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Ms. Ginger M Santiago, LMHCNPI 1952709255
Title
Owner/Operator
Phone
(352) 397-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14870 FL Primary

Addresses

Primary practice location

24059 Cortez Blvd
Brooksville, FL 34601

Mailing address

24059 Cortez Blvd
Brooksville, FL 34601-7722
Phone (352) 397-6889

Other identifiers 1

IdentifierTypeStateIssuer
021304600MedicaidFL

National Provider Directory

National Provider Directory

Locations

24059 Cortez Blvd
Brooksville, FL 34601
Phone (352) 397-6889

717 Benton Ave
Brooksville, FL 34601
Phone (352) 799-2142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1699253666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24059 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346017722",
            "telephone_number": "352-397-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24059 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34601",
            "telephone_number": "352-631-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEDDING LIGHT COUNSELING 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "352-397-6889",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021304600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.