Active NPI
Shedding Light Counseling 'LLC'
- Mental Health Counselor
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH14870
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ginger M Santiago, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021304600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Brooksville, FL
- NPI 1952709255
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.