Active NPI
Shelly A Mentus, LMHC, MCAP
- Professional Counselor
- Riverview, FL
National Provider Identifier
1942738513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH23899
- Practice address
- 10428 Yellow Spice CT
Riverview, FL 33578-3410 - Phone
- (813) 830-8055
- Fax
- (813) 319-5447
- NPI assigned
- May 26, 2017
- 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 | MH23899 | FL | Primary |
Addresses
Primary practice location
10428 Yellow Spice CT
Riverview, FL 33578-3410
Mailing address
10428 Yellow Spice CT
Riverview, FL 33578-3410
Phone (718) 662-6473
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015558700 | Medicaid | FL | |
| MH23899 | Other | FL | IRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rei of Light Counseling, PLLC | Professional | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1942738513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10428 YELLOW SPICE CT",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783410",
"telephone_number": "718-662-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10428 YELLOW SPICE CT",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783410",
"telephone_number": "813-830-8055",
"fax_number": "813-319-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTUS",
"first_name": "SHELLY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMHC, MCAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2024-06-26",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH23899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015558700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "MH23899",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.