Active NPI
Shaniqua Bell
- Professional Counselor
- Daytona Beach, FL
National Provider Identifier
1902309123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15086
- Practice address
- 140 S Beach St
Daytona Beach, FL 32114-4472 - Phone
- (386) 222-2576
- NPI assigned
- Mar 14, 2018
- Last updated
- Mar 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15086 | FL | Primary |
Addresses
Primary practice location
140 S Beach St
Daytona Beach, FL 32114-4472
Mailing address
9 Prince Kaarel LN
Palm Coast, FL 32164-7157
Phone (443) 570-8156
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 |
|---|---|---|---|
| 15086 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1902309123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PRINCE KAAREL LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647157",
"telephone_number": "443-570-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S BEACH ST",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144472",
"telephone_number": "386-222-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "SHANIQUA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "15086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.