Individual provider Active NPI

Jeanne Cherie Shepherd, LMHC

  • Mental Health Counselor
  • Vero Beach, FL
National Provider Identifier
1871868117
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5683 Issued in FL
Practice address
981 37TH PL
Vero Beach, FL 32960-6541
Phone
(772) 492-3427
Fax
(772) 999-5577
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH5683 FL
Mental Health Counselor 101YM0800X MH5683 FL Primary

Addresses

Primary practice location

981 37TH PL
Vero Beach, FL 32960-6541

Mailing address

827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8200

Other practice location 1

725 N US Highway 1
Fort Pierce, FL 34950-9125
Phone (772) 252-4014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003876 FL Practitioner - Mental Health Counselor 1759733652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Family Health Center, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Whole Family Health Center, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Mental Health Association in Indian River County Inc PastSince Nov 13, 2014 Accepting new patients
Whole Family Health Center, Inc. Past Accepting new patients

Locations

725 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 468-9900

827 18th St
Vero Beach, FL 32960
Phone (772) 925-8190

3723 10th Ct
Vero Beach, FL 32960
Phone (772) 492-3427

981 37th Pl
Vero Beach, FL 32960
Phone (772) 257-5785

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1871868117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "772-925-8200",
            "fax_number": "772-925-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606541",
            "telephone_number": "772-492-3427",
            "fax_number": "772-999-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349509125",
            "country_code": "US",
            "telephone_number": "772-252-4014",
            "fax_number": "772-999-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JEANNE",
        "middle_name": "CHERIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH5683",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.