Individual provider Active NPI

Sherice T Schalesky, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Bottineau, ND
National Provider Identifier
1154668804
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1689 Issued in ND
Practice address
104 11TH St W Ste 6
Bottineau, ND 58318-2005
Phone
(701) 228-3326
Fax
(701) 228-3327
NPI assigned
Jan 14, 2013
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1689 ND Primary

Addresses

Primary practice location

104 11TH St W Ste 6
Bottineau, ND 58318-2005

Mailing address

104 11TH St W Ste 6
Bottineau, ND 58318-2005
Phone (701) 228-3326

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Family Solutions Addiction (Substance Use Disorder) CurrentSince Dec 13, 2022 Accepting new patients
Circle of Life Recovery Center Addiction (Substance Use Disorder) PastSince Oct 9, 2022 Accepting new patients

Locations

104 11th St W
Ste 6
Bottineau, ND 58318
Phone (701) 228-3326

Organizations & group practices 2

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1154668804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 11TH ST W STE 6",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583182005",
            "telephone_number": "701-228-3326",
            "fax_number": "701-228-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 11TH ST W STE 6",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583182005",
            "telephone_number": "701-228-3326",
            "fax_number": "701-228-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALESKY",
        "first_name": "SHERICE",
        "middle_name": "T",
        "credential": "LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bottineau, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.