SHARDAE TRIPP M.S. LMHC NPI 1700310513

NPI Information

  • NPI: 1700310513
  • Provider Name: SHARDAE TRIPP, M.S., LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5590 NW PINE TRAIL CIR
    PORT SAINT LUCIE, FL
    ZIP 34983
  • Phone: (772) 418-7797

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NPI Details

Shardae Tripp, M.S., LMHC is a mental health counselor in Port Saint Lucie, FL with 4 years of experience. Shardae Tripp, M.S., LMHC NPI is 1700310513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5590 NW PINE TRAIL CIR
PORT SAINT LUCIE, FL
ZIP 34983-349
Phone: (772) 418-7797

The NPI 1700310513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/18/2017 and was last updated on 12/18/2019.

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 HealthMH16947FLORIDAYes

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: 11/21/2025

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