Shaquera Fowlkes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

41 Glenridge Ave Apt 2R
Montclair, NJ 07042-4741

Phone

(201) 704-7966

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brave Medical P.C.

  • Community/Behavioral Health Agency
  • Yonkers, NY
  • NPI 1902415318
  Medicare reassignment NPD
• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Mental Health

  Medicare reassignment NPD
• Professional Medical Concierge Services, PLLC

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1841812310
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1972225977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GLENRIDGE AVE UNIT 1117",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070426842",
            "telephone_number": "201-247-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 GLENRIDGE AVE APT 2R",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424741",
            "telephone_number": "201-704-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "SHAQUERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfowlkes@best-tx.com",
            "affiliation": "Y",
            "affiliationName": "COMMY & BEST PLLC",
            "address_1": "41 Glenridge Ave Apt 2R",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070424741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Ann Forster, L.C.S.W.
• Alice Katherine Forsyth, MSW, LCSW
• Franklin Dana Fortunato, MD
• Forward Motion Counseling Services LLC
• Jayne Wendy Foster-Mizraji, D.C.
• Danielle Melisa Fox, L.C.S.W.
• Megan Fox, LCSW
• Yuli Fradkin, M.D.
• Debbie Sue Frank, LCSW
• Donald Harry Frank, M.D.

• Mental Health Counselor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.

Verify at the official NPI Registry.