Shayna Vargas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1135 Pasadena Ave S Ste 112
South Pasadena, FL 33707-2854

Phone

(727) 643-0011

Fax

(727) 231-9655

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Caring Community Counseling LLC

  • Community/Behavioral Health Agency
  • Saint Petersburg, FL
  • NPI 1477988343
  NPD
• Applied Behavior Change Corp

  • Behavior Analyst
  • Saint Petersburg, FL
  • NPI 1851070049
  NPD (past)
• Caring Community Counseling

  • Mental Health Counselor
  • Saint Petersburg, FL
  • NPI 1790191781
  NPD (past)
• Delta Behavioral Group, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1487904041
  NPD (past)

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1770063802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603740",
            "telephone_number": "609-922-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 PASADENA AVE S STE 112",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072854",
            "telephone_number": "727-643-0011",
            "fax_number": "727-231-9655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 5th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337137521",
            "country_code": "US",
            "telephone_number": "727-367-2273",
            "fax_number": "727-800-6929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "SHAYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100931300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John H Thee, D.M.D.
• Thomas F Conroy MD PA
• Thomas M Mixa MD PA
• Elliot Traxler, DMD
• Aquaiel Troupe, PHARMACIST INTERN
• Sushama Vazrala, M.D.
• Jennifer Ann Villarino, PHARM.D.
• Sabina Vlaeva, DMD
• Wal-Mart Stores East LP
• Yue Wang, OMD

• Behavior Technician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; 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.