Shardae Tripp, M.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16947 Issued in FL

Practice address

5590 NW Pine Trail Cir
Port Saint Lucie, FL 34983-5349

Phone

(772) 418-7797

NPI assigned

Apr 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shardae Tripp Counseling LLCGroup PAC ID 5496101784, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shardae Tripp Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Saint Lucie, FL
  • NPI 1801583646
  Medicare reassignment Care Compare group NPD Authorized official
• Dr Tripp and Associates -Texascor

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Saint Lucie, FL
  • NPI 1275403784
  NPD Authorized official

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1700310513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 NW PINE TRAIL CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349835349",
            "telephone_number": "772-418-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 NW PINE TRAIL CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349835349",
            "telephone_number": "772-418-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "SHARDAE",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.