MS. SHERA SUE KLOTZ (BA) – Mental Health Counselor, NPI 1306101555

MS. SHERA SUE KLOTZ (BA) is a healthcare provider. based in Tampa, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials BA. They hold a License No. MH19383 (FL). The NPI Number for MS. SHERA SUE KLOTZ (BA) is 1306101555

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHERA SUE KLOTZ (BA)
NPI
1306101555
Phone
(813) 239-8069
Address
5707 N 22ND ST
Enumeration Date
12 July 2012
Last Update Date
13 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8133226776
Graduation Year
2013 (13 years ago)
PAC ID
0345698379
Group Practice PAC ID
3678819349
Professional Enrollment ID
I20231130002441
Address ID
FL335446435WE2306XCIRX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for MS. SHERA SUE KLOTZ (BA)

  • 5707 N 22ND ST

    TAMPA, FL 336104350

    Phone: (813) 239-8069

    Fax: (813) 239-8514

    Type: Mailing

  • 34335 TIMBERLAND BLVD

    WESLEY CHAPEL, FL 335435233

    Phone: (813) 501-2021

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231130002441IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678819349View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL
Mental Health CounselorFL
Marriage And Family TherapistFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

What number should I use to identify MS. SHERA SUE KLOTZ (BA) for billing?
Administrative and clinical systems typically use NPI 1306101555 for MS. SHERA SUE KLOTZ (BA).
Quick check: is MS. SHERA SUE KLOTZ (BA) active?
Public NPPES data shows MS. SHERA SUE KLOTZ (BA) with an active NPI status right now.
Which specialty label fits MS. SHERA SUE KLOTZ (BA)?
NPPES ties MS. SHERA SUE KLOTZ (BA) to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. SHERA SUE KLOTZ (BA)?
MS. SHERA SUE KLOTZ (BA) shows a connection to Tampa, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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