Active NPI
Sharona C Baker, LMHC, RMFTI
- Mental Health Counselor
- Wilton Manors, FL
National Provider Identifier
1881059616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16634
- Practice address
- 871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731 - Phone
- (954) 567-7141
- Fax
- (954) 703-2029
- NPI assigned
- Dec 21, 2015
- Last updated
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH 14153 | FL | |
| Mental Health Counselor | 101YM0800X | MH16634 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | IMT 2417 | FL |
Addresses
Primary practice location
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Mailing address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Phone (954) 567-7141
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 14153 | FL | MD | Mental Health Counselor |
| MH16634 | FL | MD | Mental Health Counselor |
| IMT 2417 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Connections Counseling Solutions LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Davie, FL
- NPI 1003524422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1881059616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 W OAKLAND PARK BLVD",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333111731",
"telephone_number": "954-567-7141",
"fax_number": "954-703-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 W OAKLAND PARK BLVD",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333111731",
"telephone_number": "954-567-7141",
"fax_number": "954-703-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SHARONA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LMHC, RMFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH 14153",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16634",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT 2417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
- Aster Discount Pharmacy, Inc (Aster Discount Pharmacy)
- Avita Drugs Florida, LLC (Avita Pharmacy 1066)
- B&L Service, Inc. (Yellow Cab)
- Kelsie Baggs
- Bailey House of Wellness, LLC (Bhow)
- Jennifer Balandrano
- Angelina Baldwin, LCSW
- Lisa Barnard, AP
- Edward Arthur Barron
- Barry S Weinberg, DC, PA (A Place for Healing)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.