Individual provider Active NPI

Shari L Shore, MA LMHP

  • Counselor
  • North Platte, NE
National Provider Identifier
1174507586
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
238 Issued in NE
Practice address
610 S Dewey St
North Platte, NE 69101-5519
Phone
(308) 534-3351
Fax
(308) 696-3801
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 238 NE Primary

Addresses

Primary practice location

610 S Dewey St
North Platte, NE 69101-5519

Mailing address

610 S Dewey St
North Platte, NE 69101-5519
Phone (308) 534-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20240724002859 NE Practitioner - Mental Health Counselor 3577963081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Matters Counseling Services LLCGroup PAC ID 2668872177, 2 clinicians

Practice addresses (Care Compare)

410 E B St
North Platte, NE 69101-4049
Phone (308) 534-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
552NEMDOrthopedic Physical Therapist
238NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Matters Counseling Services LLC Counselor CurrentSince Jan 1, 2021 Accepting new patients

Locations

410 E B St
North Platte, NE 69101
Phone (308) 534-3351

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1174507586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S DEWEY ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015519",
            "telephone_number": "308-534-3351",
            "fax_number": "308-696-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S DEWEY ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015519",
            "telephone_number": "308-534-3351",
            "fax_number": "308-696-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "SHARI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.