Individual provider Active NPI

Natasha Deshommes, MA

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1710371349
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6160 SW Highway 200 Ste 110
Ocala, FL 34476-5519
Phone
(646) 643-1122
NPI assigned
Mar 20, 2015
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21645 FL
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X 37PC01018800 NJ

Addresses

Primary practice location

6160 SW Highway 200 Ste 110
Ocala, FL 34476-5519

Mailing address

6160 SW Highway 200 Ste 110
Ocala, FL 34476-5519
Phone (646) 643-1122

Other practice location 1

1009 Maitland Center Commons Blvd
#212
Maitland, FL 32751-7270
Phone (646) 643-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240521004129 FL Practitioner - Mental Health Counselor 8729420872 Reassigns benefits to 1 organization
I20241210002919 NJ Practitioner - Mental Health Counselor 8729420872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH21645FLMDMental Health Counselor
37PC01018800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 10, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 14, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1710371349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SW HIGHWAY 200 STE 110",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765519",
            "telephone_number": "646-643-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SW HIGHWAY 200 STE 110",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765519",
            "telephone_number": "646-643-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Maitland Center Commons Blvd",
            "address_2": "#212",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517270",
            "country_code": "US",
            "telephone_number": "646-643-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHOMMES",
        "first_name": "NATASHA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21645",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01018800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.