Active NPI
Shelly Jo Schafer, LMHC
- Mental Health Counselor
- Zearing, IA
National Provider Identifier
1215080965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00989
- Practice address
- 101 West Main St.
Zearing, IA 50278 - Phone
- (515) 689-4994
- Fax
- (515) 689-4994
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00989 | IA | Primary |
Addresses
Primary practice location
101 West Main St.
Zearing, IA 50278
Mailing address
12852 185TH St
Wellsburg, IA 50680-7639
Phone (641) 869-3450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00989 | IA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215080965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12852 185TH ST",
"city": "WELLSBURG",
"state": "IA",
"postal_code": "506807639",
"telephone_number": "641-869-3450",
"fax_number": "641-869-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WEST MAIN ST.",
"city": "ZEARING",
"state": "IA",
"postal_code": "50278",
"telephone_number": "515-689-4994",
"fax_number": "515-689-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "SHELLY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zearing, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.