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Deactivated NPI 1790363794 Deactivated / Inactive NPI Female Practitioner

Shanshera Quinn

Counselor • Seffner, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shanshera Quinn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 31, 2021
NPI Deactivation Date March 06, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Shanshera Quinn was a registered Counselor practicing in Seffner, FL. Throughout an active medical career spanning 4 years, Shanshera Quinn provided care at the practice location at 440 ARCH RIDGE LOOP until profile deactivation on 2025-03-06.

Practice Location & Contact Primary Location

Practice Address

440 Arch Ridge Loop

Seffner, FL 335843701

Telephone 8137285975

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Seffner, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Seffner, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL IMH20208

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 06, 2025

Record deactivated on March 06, 2025

NPI Profile Active March 31, 2021

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2021

Registered at 440 ARCH RIDGE LOOP, SEFFNER, FL 335843701 (Tel: 8137285975)

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Updated Business Mailing Address March 31, 2021

Registered at 440 ARCH RIDGE LOOP, SEFFNER, FL 335843701 (Tel: 8137285975)

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Provider Name / Credentials Updated March 31, 2021

Recorded as SHANSHERA QUINN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2021

Counselor (License #IMH20208 in FL)

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Initial NPI Registration & Enumeration March 31, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790363794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2021
Last Update: March 31, 2021
Deactivation Date: March 06, 2025

Mailing Address

440 Arch Ridge Loop

Seffner, FL 335843701

Phone: 8137285975

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.