Shadsun Leonard Rice, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5789 Issued in FL

Practice address

709 S 5TH St
Fort Pierce, FL 34950-8339

Phone

(772) 467-3040

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1730117532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NW WILLOW GROVE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863564",
            "telephone_number": "772-344-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S 5TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508339",
            "telephone_number": "772-467-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "SHADSUN",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761637600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurore Rezk, D.M.D.
• RG Ambulance Service II, LLC
• RG Ambulance Service, Inc.
• Joshua T Rhead
• John A Rhoades, NP
• Richard J Morgan MD PA
• Juanita I Richards, REGISTERED NURSE
• Michele L Richards, MD
• Lynda-Jean Richardson, PTA
• Vanessa Richardson

• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, 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 Aug 25, 2023; 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.