Shari Adams, LMHC

Individual provider Active NPI Mental Health Counselor · Niceville, FL

NPI 1821534496 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1821534496
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH14740 (FL)
Practice address
4400 E Highway 20 Ste 306
Niceville, FL 32578-7703
Phone
(850) 897-7810
Fax
(850) 897-0032
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MH14740FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Krueger Wellness Institute Inc Mental Health Past
since Sep 23, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14740 FL Yes

Addresses

Primary practice location

4400 E Highway 20 Ste 306
Niceville, FL 32578-7703

Mailing address

4400 E Highway 20 Ste 306
Niceville, FL 32578-7703
Phone (850) 897-7810

Other practice location 1

1245 Shipley Dr
Niceville, FL 32578-3956
Phone (850) 797-1643

Other practice location 2

1245 Shipley Dr
Niceville, FL 32578-3956
Phone (850) 797-1643

Other providers in Niceville, FL

All providers in Niceville, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.