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GRETCHEN SHIMPENO HADDAD LMHC
NPI 1104476555
Counselor - Mental Health in Hollywood, FL

Active since September 18, 2019PECOS Enrolled
3400 N 29TH AVE, HOLLYWOOD, FL 33020(954) 276-3400(954) 965-6444 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gretchen Shimpeno Haddad Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRETCHEN SHIMPENO HADDAD LMHC (NPI 1104476555) is an individual mental health provider in Hollywood, Florida, licensed in Florida (MH15309) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104476555
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRETCHEN SHIMPENO HADDADCredential: LMHC
Location Address3400 N 29TH AVEHollywood, FL 33020-1002
Mailing Address3400 N 29th AveHollywood, FL 33020-1002 · (954) 276-3400 · Fax (954) 965-6444
Phone(954) 276-3400
Fax(954) 965-6444
Sole ProprietorNo
Enumeration DateSeptember 18, 2019
✔ NPI 1104476555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH15309
3400 N 29TH AVE, Hollywood, FL 33020
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gretchen Shimpeno Haddad Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gretchen Haddad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Broward Hospital District
1.5 mi
Pulmonary Disease
1131 N 35TH AVE STE 330
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 466 clinicians in this Medicare group
NPI 1356359798 (954) 265-6333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMILY ROMAN VEGA RNBC
Registered Nurse
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Broward County (954) 965-6408
ROLANDO Q SANTOS ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Broward County (954) 276-3400
ANDREW J MIGLIACCIO MD
Psychiatry & Neurology (Psychiatry)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Broward County (954) 276-3422
PAULETTE GOPMAN PERLOWIN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Broward County (954) 276-3404
JASMINE MARIE MOORE
Nurse Practitioner (Psychiatric/Mental Health)
3400 N 29TH AVE
HOLLYWOOD, FL 33020
Broward County (954) 276-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Haddad's NPI number?

The NPI number for Gretchen Haddad is 1104476555. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Gretchen Haddad located?

Gretchen Haddad practices at 3400 N 29th Ave, Hollywood, FL 33020. The listed phone number is (954) 276-3400.

What is Gretchen Haddad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gretchen Haddad enrolled in Medicare?

Yes. Gretchen Haddad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gretchen Haddad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Haddad reassigns Medicare benefits to South Broward Hospital District (Hollywood, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gretchen Haddad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gretchen Haddad was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.