Shakiema S.F. Raphael

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17689 Issued in FL

Practice address

4905 Lantana Rd
Lake Worth, FL 33463-6915

Phone

(561) 790-8072

NPI assigned

Jan 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1811527880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 SEMINOLE PALMS DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334634224",
            "telephone_number": "561-413-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 LANTANA RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636915",
            "telephone_number": "561-790-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "SHAKIEMA",
        "middle_name": "S.F.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sraphael@recoverypalmbeach.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "4905 Lantana Rd",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334636915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victor Ramos Jr., DPT
• Vivian Rancano
• Sherylynn R Randerson
• Randolph G. Russ
• Sridhar Rangamani
• Traci Michelle Rapini, L.M.T.
• Theresa E Rattey, M.D.
• RCH Companion & Homemaker Services, LLC
• Reach for the Stars L.L.C
• Reach for the Stars Therapy Services, LLC

• Mental Health Counselor in Lake Worth, FL
• Providers in Lake Worth, 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 Jan 18, 2020; 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.