Individual provider Active NPI

Shaloka Reed, LISW

  • Mental Health Counselor
  • Austintown, OH
National Provider Identifier
1104157452
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I.1600806 Issued in OH
Practice address
104 Javit CT
Austintown, OH 44515-2439
Phone
(330) 797-4050
NPI assigned
Jan 27, 2010
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I.1600806 OH Primary

Addresses

Primary practice location

104 Javit CT
Austintown, OH 44515-2439

Mailing address

104 Javit CT
Austintown, OH 44515-2439

Other names 1

  • Mrs. Shaloka Bates Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161220001450 OH Practitioner - Clinical Social Worker 0749561314 Reassigns benefits to 2 organizations
I20171120002722 WV Practitioner - Clinical Social Worker 0749561314 Practice locations: Wheeling, WV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Arizona College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Behavioral Health Associates, Inc.Group PAC ID 7416948559, 4 clinicians

Practice addresses (Care Compare)

104 Javit CT
Austintown, OH 44515-2439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast, Inc CurrentSince Nov 12, 2016 Accepting new patients
Comprehensive Behavioral Health Associates, Inc. CurrentSince Jun 3, 2019 Accepting new patients
Goshens Family Center, LLC Mental Health CurrentSince Nov 28, 2023 Accepting new patients
Southeast, Inc CurrentSince Nov 12, 2016 Accepting new patients

Locations

16 W Long St
Columbus, OH 43215

326 W 5th St
East Liverpool, OH 43920
Phone (330) 385-9120

500 Market St
Ste 502
Steubenville, OH 43952
Phone (303) 398-2312

104 Javit Ct
Youngstown, OH 44515
Phone (330) 207-1754

40 12th St
Ste 207
Wheeling, WV 26003
Phone (623) 451-8734

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1104157452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152439",
            "telephone_number": "330-797-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "SHALOKA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.1600806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALOKA",
            "last_name": "BATES",
            "prefix": "MRS.",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.