Individual provider Active NPI

Sheila E. Clinton, M.S. (ED.), B.S.

  • Mental Health Counselor
  • Richmond, CA
National Provider Identifier
1114250776
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
200 24TH St
Richmond, CA 94804-1804
Phone
(510) 412-9200
Fax
(510) 412-9248
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 Primary

Addresses

Primary practice location

200 24TH St
Richmond, CA 94804-1804

Mailing address

200 24TH St
Richmond, CA 94804-1804
Phone (510) 412-9200

Other practice location 1

200 24th St
Richmond, CA 94804-1804
Phone (510) 412-9200

Other practice location 2

100C State Rd
South Deerfield, MA 01373-9654
Phone (413) 397-8986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Early Childhood Mental Health Program Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1114250776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 24TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041804",
            "telephone_number": "510-412-9200",
            "fax_number": "510-412-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 24TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041804",
            "telephone_number": "510-412-9200",
            "fax_number": "510-412-9248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 24th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948041804",
            "country_code": "US",
            "telephone_number": "510-412-9200",
            "fax_number": "510-412-9248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100C State Rd",
            "address_purpose": "LOCATION",
            "city": "South Deerfield",
            "state": "MA",
            "postal_code": "013739654",
            "country_code": "US",
            "telephone_number": "413-397-8986",
            "fax_number": "413-397-9768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "SHEILA",
        "middle_name": "E.",
        "credential": "M.S. (ED.), B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.