Organization Active NPI

Colette T. Scheuermann

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1104282045
Registry record updated Jun 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW13074 Issued in FL
Legal business name
COLETTE T. SCHEUERMANN
Practice address
8047 Tauren CT
Naples, FL 34119
Phone
(847) 359-7917
Fax
(847) 359-7917
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2018

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

Authorized official

Name
Mrs. Colette Therese ScheuermannNPI 1063560100
Title
Licensed Clinical Social Worker
Phone
(847) 359-7917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X SW13074 FL Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 149003493 IL

Addresses

Primary practice location

8047 Tauren CT
Naples, FL 34119

Mailing address

8047 Tauren CT
Naples, FL 34119-7718
Phone (847) 359-7917

Other identifiers 1

IdentifierTypeStateIssuer
1014M0800XMedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530316800000",
    "number": "1104282045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8047 TAUREN CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197718",
            "telephone_number": "847-359-7917",
            "fax_number": "847-359-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8047 TAUREN CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "847-359-7917",
            "fax_number": "847-359-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLETTE T. SCHEUERMANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2018-06-30",
        "status": "A",
        "authorized_official_last_name": "SCHEUERMANN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL  WORKER",
        "authorized_official_telephone_number": "847-359-7917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW13074",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149003493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014M0800X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.