Individual provider Active NPI

Sheree L Saulter, MA

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1750652194
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH8077 Issued in FL
Practice address
5001 S Florida Ave
Suite 202
Lakeland, FL 33813-2776
Phone
(863) 221-2785
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IMH8077 FL
Mental Health Counselor 101YM0800X IMH8077 FL Primary

Addresses

Primary practice location

5001 S Florida Ave
Suite 202
Lakeland, FL 33813-2776

Mailing address

1336 Robinhood Lane South
Lakeland, FL 33813-2340
Phone (863) 221-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH8077FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1750652194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 ROBINHOOD LANE SOUTH",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132340",
            "telephone_number": "863-221-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 S FLORIDA AVE",
            "address_2": "SUITE 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132776",
            "telephone_number": "863-221-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULTER",
        "first_name": "SHEREE",
        "middle_name": "L",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "IMH8077",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.