Individual provider Active NPI

Svjetlana Shield

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1821652553
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RMHCI17676 Issued in FL
Practice address
8800 49TH St N Ste 106
Pinellas Park, FL 33782-5332
Phone
(727) 544-0044
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RMHCI17676 FL Primary

Addresses

Primary practice location

8800 49TH St N Ste 106
Pinellas Park, FL 33782-5332

Mailing address

1308 Brentwood Hills Blvd
Brandon, FL 33511-6141
Phone (907) 952-7236

Other practice location 1

10225 Ulmerton Rd Ste 3A
Largo, FL 33771-3519
Phone (813) 603-8855

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

State licenses

LicenseStateTypeSpecialty
RMHCI17676FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1821652553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 BRENTWOOD HILLS BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116141",
            "telephone_number": "907-952-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 49TH ST N STE 106",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825332",
            "telephone_number": "727-544-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10225 Ulmerton Rd Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337713519",
            "country_code": "US",
            "telephone_number": "813-603-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELD",
        "first_name": "SVJETLANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "RMHCI17676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.