Individual provider Active NPI

Julianne Shabetai, LMHC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1891467775
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22394 Issued in FL
Practice address
520 E Garden St
Lakeland, FL 33805-4616
Phone
(813) 445-3313
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 MH22394 FL Primary

Addresses

Primary practice location

520 E Garden St
Lakeland, FL 33805-4616

Mailing address

520 E Garden St
Lakeland, FL 33805-4616
Phone (813) 445-3313

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
MH22394FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Floret Counseling LLC Current Accepting new patients
Restored Purpose Counseling Services, PLLC Mental Health Past Accepting new patients

Locations

520 E Garden St
Lakeland, FL 33805
Phone (863) 398-9624

Organizations & group practices 2

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1891467775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E GARDEN ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054616",
            "telephone_number": "813-445-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E GARDEN ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054616",
            "telephone_number": "813-445-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABETAI",
        "first_name": "JULIANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.