Active NPI
Shatina Underwood
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1750716080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1850 Lee Rd
Suite 209
Winter Park, FL 32789-2115 - Phone
- (321) 303-9209
- NPI assigned
- Sep 5, 2013
- Last updated
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1850 Lee Rd
Suite 209
Winter Park, FL 32789-2115
Mailing address
1850 Lee Rd
Suite 209
Winter Park, FL 32789-2115
Phone (321) 303-9209
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
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Apopka, FL
- NPI 1578998993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1750716080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 LEE RD",
"address_2": "SUITE 209",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892115",
"telephone_number": "321-303-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 LEE RD",
"address_2": "SUITE 209",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892115",
"telephone_number": "321-303-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "SHATINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Alyssa Uhlmann
- Ana Jazmin Ulloa
- Enrique Gerardo Umpierre Schuck, MD
- Samantha Underhill, LMHC
- Michelle Underwood, M.A., CCC-SLP
- Uniqstic LLC (Uniqstic)
- United Medical Solutions LLC (United Medical Solutions Home Care Division)
- United Transportation& Logistic Services, Inc.
- Universal Compounding Pharmacy Inc
- University Diagnostic Institute Winter Park PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.