V Susan L Shea

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000667 Issued in MO

Practice address

402 Barbara Street
Bloomfield, MO 63825

Phone

(573) 895-2204

NPI assigned

Aug 15, 2017

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bootheel Counseling ServicesGroup PAC ID 5496725145, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bootheel Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sikeston, MO
  • NPI 1386789139
  Medicare reassignment Care Compare group NPD
• Bootheel Counseling Services

  • Rural Health Clinic/Center
  • Sikeston, MO
  • NPI 1497064547
  NPD
• Bootheel Counseling Services

  • Community/Behavioral Health Agency
  • Sikeston, MO
  • NPI 1700652898
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1073039715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BARBARA ST",
            "city": "BLOOMFIELD",
            "state": "MO",
            "postal_code": "638259405",
            "telephone_number": "573-895-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BARBARA STREET",
            "city": "BLOOMFIELD",
            "state": "MO",
            "postal_code": "63825",
            "telephone_number": "573-895-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "V SUSAN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "000667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Palomino, M.S.W.,L.C.S.W
• Poplar Bluff Regional Medical Center LLC (Bloomfield Medical Clinic)
• Poplar Bluff Regional Medical Center, LLC (Bloomfield Medical Clinic)
• Prairie View Skilled Nursing LLC (Prairie View Skilled Nursing)
• Christine Delores Rhodes, PHARMD
• Peter W Somers, PH.D. M.D.
• Southeast Health Center of Stoddard County LLC (Mercy Hospital Stoddard)
• Stars and Stripes Home Care, LLC
• Stoddard County Health Center
• Town Pharmacy Inc. (Town Pharmacy)

• Professional Counselor in Bloomfield, MO
• Providers in Bloomfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.