Individual provider Active NPI

Sherri Marie Mkhwane

  • Mental Health Counselor
  • Inverness, FL
National Provider Identifier
1932449733
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2509 S Shelly Ave
Inverness, FL 34450-6417
Phone
(352) 287-8696
NPI assigned
Feb 15, 2013
Reactivated
Oct 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 Primary

Addresses

Primary practice location

2509 S Shelly Ave
Inverness, FL 34450-6417

Mailing address

2509 S Shelly Ave
Inverness, FL 34450-6417
Phone (352) 287-8696

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
I20240507002181 FL Practitioner - Mental Health Counselor 1951742055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rising Tide Therapy LLCGroup PAC ID 2062852734, 2 clinicians

Practice addresses (Care Compare)

7647 W Gulf to Lake Hwy
Suite 4
Crystal River, FL 34429-7800
Phone (352) 212-7435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Tide Therapy, LLC Mental Health CurrentSince Apr 16, 2024 Accepting new patients
Stress Less Therapy Mental Health Past Accepting new patients
Stress Less Therapy Mental Health Past Accepting new patients

Locations

7647 W Gulf To Lake Hwy
Ste 4
Crystal River, FL 34429
Phone (352) 212-7435

Organizations & group practices 3

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": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1932449733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S SHELLY AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344506417",
            "telephone_number": "352-287-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S SHELLY AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344506417",
            "telephone_number": "352-287-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKHWANE",
        "first_name": "SHERRI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "deactivation_date": "2014-08-26",
        "reactivation_date": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.