SHARDAE TRIPP (M.S., LMHC) – Mental Health Counselor, NPI 1700310513

SHARDAE TRIPP (M.S., LMHC) is a healthcare provider. based in Port saint lucie, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S., LMHC. They hold a License No. MH16947 (FL). The NPI Number for SHARDAE TRIPP (M.S., LMHC) is 1700310513

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SHARDAE TRIPP (M.S., LMHC)
NPI
1700310513
Phone
(772) 418-7797
Address
5590 NW PINE TRAIL CIR
Enumeration Date
18 April 2017
Last Update Date
18 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724187797
Graduation Year
2022 (4 years ago)
PAC ID
8022464312
Group Practice PAC ID
5496101784
Professional Enrollment ID
I20231212004240
Address ID
FL349862281PO540XXBLVD402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for SHARDAE TRIPP (M.S., LMHC)

  • Pine Trail Circle, Port St. Lucie, St. Lucie County, Florida, 34983, United States

    PORT SAINT LUCIE, FL 349835349

    Phone: (772) 418-7797

    Mailing address matches the actual address.

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: 2023-12-12

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
I20231212004240IMental 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 34983)

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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: 5496101784View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Mental Health CounselorFL
Nurse PractitionerFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHARDAE TRIPP (M.S., LMHC)?
SHARDAE TRIPP (M.S., LMHC) — NPI 1700310513 — is the standard way to identify this listing.
Does the file indicate SHARDAE TRIPP (M.S., LMHC) is practicing under active NPI?
Directory data currently reports SHARDAE TRIPP (M.S., LMHC) as active.
What healthcare role does SHARDAE TRIPP (M.S., LMHC) hold?
Scheduling teams often label SHARDAE TRIPP (M.S., LMHC) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is SHARDAE TRIPP (M.S., LMHC) based?
SHARDAE TRIPP (M.S., LMHC) is tied to Port Saint Lucie, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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