MEDICARE: SHARDAE TRIPP COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1790525145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARDAE TRIPP COUNSELING LLC

Provider Business Mailing Address
First Line	:	1860 SW FOUNTAINVIEW BLVD STE 100
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-4528
Country	:	US
Telephone Number	:	772-418-7797
Fax Number	:

Provider Business Practice Location Address
First Line	:	5590 NW PINE TRAIL CIRCLE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983
Country	:	US
Telephone Number	:	772-418-7797
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHARDAE TRIPP
Credential	:	LMHC
Telephone Number	:	772-418-7797

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	05/31/2024

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1124953286 — ISMAEL NOAH CONTRERAS
Practice Location Address:

518 SW PRIMA VISTA BLVD
PORT ST LUCIE, FL
34983-8734

Practice Phone: 772-873-8811
Practice Fax:

1316872419 — AS YOU WERE LLC
Practice Location Address:

1225 SE NAPLES LN
PORT ST LUCIE, FL
34983-3125

Practice Phone: 786-543-0210
Practice Fax:

1780873703 — ROSELENE BENJAMIN
Practice Location Address:

102 SE CAPRONA AVE
PORT ST LUCIE, FL
34983-2264

Practice Phone: 772-408-4798
Practice Fax:

Directions to “SHARDAE TRIPP COUNSELING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.