Individual provider Active NPI

Shirley R Pierre Robertson, M.S.N, R.N.

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1871749507
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RN1525422 Issued in FL
Practice address
2240 Palm Beach Lakes Blvd Ste 400E
West Palm Beach, FL 33409-3410
Phone
(561) 688-0870
Fax
(561) 537-7161
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RN1525422 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X RN1525422 FL
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2240 Palm Beach Lakes Blvd Ste 400E
West Palm Beach, FL 33409-3410

Mailing address

2240 Palm Beach Lakes Blvd Ste 400E
West Palm Beach, FL 33409-3410
Phone (561) 688-0870

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1525422FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Imara Community Services Addiction (Substance Use Disorder) Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1871749507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PALM BEACH LAKES BLVD STE 400E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093410",
            "telephone_number": "561-688-0870",
            "fax_number": "561-537-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PALM BEACH LAKES BLVD STE 400E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093410",
            "telephone_number": "561-688-0870",
            "fax_number": "561-537-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE ROBERTSON",
        "first_name": "SHIRLEY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.S.N, R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "RN1525422",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN1525422",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.