Shauntae Ariette Pacheco

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0011721 Issued in DE

Practice address

People's Place
1131 Airport Road
Milford, DE 19963

Phone

(302) 422-8026

Fax

(302) 422-0701

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shauntae Ariette Fooks, Clark Former name

Medicare fee-for-service enrollment

Enrolled in DE

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

People's Place II, Inc.Group PAC ID 3173519436, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• People's Place II, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, DE
  • NPI 1295871481
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1720804990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 AIRPORT ROAD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-422-8026",
            "fax_number": "302-422-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEOPLE'S PLACE",
            "address_2": "1131 AIRPORT ROAD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-422-8026",
            "fax_number": "302-422-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "SHAUNTAE",
        "middle_name": "ARIETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNTAE",
            "last_name": "FOOKS, CLARK",
            "middle_name": "ARIETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Claire Osgood, M.A.
• Brian Robert Osler, MD
• Carol Ann Owens, M. D.
• Clifford Stephan Owens Sr.
• P2 Dental P.a.
• Nyleen Valentina Pajibo, CRNP
• Alyssa Marie Pallatta, DO
• Linda Palmer
• Bradlee James Palmquist, DO
• Pam Physician Enterprise

• Mental Health Counselor in Milford, DE
• Providers in Milford, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.