MR. DEREK JOSEPH SHAIRS RMHCI NPI 1699586933

NPI Information

  • NPI: 1699586933
  • Provider Name: MR. DEREK JOSEPH SHAIRS, RMHCI
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6817 SOUTHPOINT PKWY STE 2503
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 326-0246

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NPI Details

MR. Derek Joseph Shairs, RMHCI is a mental health counselor in Jacksonville, FL. MR. Derek Joseph Shairs, RMHCI NPI is 1699586933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6817 SOUTHPOINT PKWY STE 2503
JACKSONVILLE, FL
ZIP 32216-200
Phone: (904) 326-0246

The enumeration date for this NPI number is 1/16/2025 and was last updated on 1/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthIMH27054FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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